| Doctor Name: | CARLI TAYLOR |
| NPI Number: | 1295191062 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | 1152005 |
| Business Practice Address: | 14714 St. Stephens Ave Chatom, AL - 36518 |
| Business Phone Number: | 2515446407 |
| Business Fax Number: | 2515446406 |
| Mailing Address: | 70 Midtown Park E, MOBILE |
| State: | AL |
| Postal Code: | 366064140 |
| Phone Number: | 2515446410 |
| Fax Number: | 2515446411 |
| NPI Enumeration Date: | 01/11/2016 |
| NPI Last Update Date: | 01/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 1152005 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |