Taylor, Mistye Dawnielle

Taylor, Mistye Dawnielle is an sole proprietor health care provider with primary practice located at 300 Stonecrest Blvd Suite 490, Smyrna TN 37167-5688. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Reproductive Endocrinology. Other Service Providers / Specialist is her primary health care specialty. Taylor, Mistye Dawnielle can be contacted via phone (615) 223-0200.

Contact Information

Primary practice address
300 Stonecrest Blvd Suite 490 Smyrna TN 37167-5688
Fax: (615) 223-8704
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 30423 Alabama
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 49895 Tennessee
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 49895 Tennessee
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 49895 Tennessee

Profile Details

NPI number 1548429798
LBN Legal business name Taylor, Mistye Dawnielle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2008
Last updated Sep 9th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548429798 NPPES
Mississippi MEDICAID 116356

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