MEDICARE: TAYLOR JEAN PRESTON NP

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
1	363LF0000X	Family Nurse Practitioner	1226618	TX

General Provider Information

NPI Number	:	1578432845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR JEAN PRESTON NP

Provider Business Mailing Address
First Line	:	3407 ANDERS WAY
Second Line	:
City	:	HEATH
State	:	TX
Zip	:	75126-1934
Country	:	US
Telephone Number	:	903-539-3414
Fax Number	:

Provider Business Practice Location Address
First Line	:	757 E US HIGHWAY 80 STE 240
Second Line	:
City	:	FORNEY
State	:	TX
Zip	:	75126-8701
Country	:	US
Telephone Number	:	469-290-4592
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2025
Last Update Date	:	02/03/2026

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