Taylor, Stephanie Judith

Taylor, Stephanie Judith is an individual health care provider with primary practice located at 2015 Mulberry Ave Ste 210 , Mount Pleasant TX 75455-2319. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Taylor, Stephanie Judith can be contacted via phone (903) 575-9408.

Contact Information

Primary practice address
2015 Mulberry Ave Ste 210 Mount Pleasant TX 75455-2319
Fax: (903) 575-9611
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP122968 Texas

Profile Details

NPI number 1528305224
LBN Legal business name Taylor, Stephanie Judith
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2013
Last updated Mar 23rd, 2022 - about 2 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 1528305224 NPPES
Texas MEDICAID 337063701

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