MEDICARE: MS. BRIONNA NICOLE 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	225XP0200X	Pediatric Occupational Therapist		GA

General Provider Information

NPI Number	:	1841142064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BRIONNA NICOLE TAYLOR

Provider Business Mailing Address
First Line	:	1920 CHESTNUT ST APT 438
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37408-1063
Country	:	US
Telephone Number	:	615-668-1277
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 PROFESSIONAL PKWY STE 220
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30188-6444
Country	:	US
Telephone Number	:	844-543-8437
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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