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NPI Code Detail

MEDICARE: STEPHANIE MICHELLE TAYLOR APRN, PMHNP-BC

MEDICARE:   STEPHANIE MICHELLE TAYLOR  APRN, PMHNP-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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAP142197TX

General Provider Information

NPI Number : 1942852421
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE MICHELLE TAYLOR APRN, PMHNP-BC
Provider Business Mailing Address
First Line : 2928 GARDEN BLUFF TRL APT 1125
Second Line :
City : FORT WORTH
State : TX
Zip : 76118-4732
Country : US
Telephone Number : 972-207-9176
Fax Number :
Provider Business Practice Location Address
First Line : 5560 MESA SPRINGS DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76123-2120
Country : US
Telephone Number : 817-292-4600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2019
Last Update Date : 12/06/2025

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