Doctor Name: | JULIE TAYLOR |
NPI Number: | 1053793729 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0024172671 |
Business Practice Address: | 390 S Main St Suite 201 Rocky Mount, VA - 241511766 |
Business Phone Number: | 5404844800 |
Business Fax Number: | |
Mailing Address: | 390 S Main St, Suite 201 ROCKY MOUNT |
State: | VA |
Postal Code: | 241511766 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/18/2015 |
NPI Last Update Date: | 06/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024172671 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |