Individual provider · Type 1 NPI
Taylor McKenzie Sullivan
Student in an Organized Health Care Education/Training Program · Lafayette, TN
Practice location
419 Highway 52 Byp W
Lafayette, TN 37083-1758
Fax (615) 666-2135
Mailing address
402 Rexs Ln
Lafayette, TN 37083-3565
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1144738253
Taylor McKenzie Sullivan's National Provider Identifier is 1144738253, issued on Jan 11, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lafayette, TN. The record was last updated on Jan 11, 2018.