Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | A003010 | AR |
N | 363LW0102X | Nurse Practitioner - Women's Health | A003010 | AR |
N | 363LW0102X | Nurse Practitioner - Women's Health | R0093951 | OK |
NPI | 1023211521 |
---|---|
Provider Name | Mrs. Floye L Taylor |
First Address | Bryant, AR 72022-7536 |
Second Address | Bryant, AR 72022-9191 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2007 |
Last Update Date | 24/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200223890A | (05) | OK |
255106ZHKL | MEDICARE (01) | AR |