Individual provider · Type 1 NPI
Nicole Dejean Taylor, CPNP-PC
Pediatric Nurse Practitioner · New Orleans, LA
NPI number
1083159040
Active
Practice location
220 Henry Clay Ave
New Orleans, LA 70118-5720
Mailing address
116 Mark Twain Dr, Apartment 1
River Ridge, LA 70123-2488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN117994 (LA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | AP09056 (LA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1083159040
Nicole Dejean Taylor, CPNP-PC's National Provider Identifier is 1083159040, issued on Dec 30, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New Orleans, LA. The record was last updated on Dec 30, 2016.