MEDICARE: TAYLER JANE CONNOR MSN, RN, FNP-BC

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	27075	TN

General Provider Information

NPI Number	:	1831729243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLER JANE CONNOR MSN, RN, FNP-BC

Provider Business Mailing Address
First Line	:	111 CHESTER STEVENS CT
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-5838
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1101 17TH AVE S
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37212-2203
Country	:	US
Telephone Number	:	615-571-2075
Fax Number	:

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

Provider Enumeration Date	:	01/24/2020
Last Update Date	:	01/24/2020

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