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NPI Code Detail

MEDICARE: MRS. TAYLOR NICOLE BURK FNP-C

MEDICARE: MRS. TAYLOR NICOLE BURK FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerGAA-NP004400GA

General Provider Information

NPI Number : 1467304691
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TAYLOR NICOLE BURK FNP-C
Provider Business Mailing Address
First Line : 20 COUNTY ROAD 467
Second Line :
City : CEDAR BLUFF
State : AL
Zip : 35959-3458
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 107 JOHN MADDOX DR NW
Second Line :
City : ROME
State : GA
Zip : 30165-1419
Country : US
Telephone Number : 706-235-0116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/11/2026

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Directions to “ MRS. TAYLOR NICOLE BURK FNP-C” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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