MEDICARE: BERNICE TAYLOR

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	163W00000X	Registered Nurse	201070	NC

General Provider Information

NPI Number	:	1740144088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BERNICE TAYLOR

Provider Business Mailing Address
First Line	:	7574 FULGHUM RD
Second Line	:
City	:	KENLY
State	:	NC
Zip	:	27542-9043
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	713 N ARENDELL AVE STE E
Second Line	:
City	:	ZEBULON
State	:	NC
Zip	:	27597-2303
Country	:	US
Telephone Number	:	252-373-1246
Fax Number	:

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

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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Directions to “ BERNICE TAYLOR ” Practice Location

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