Individual provider · Type 1 NPI
Ivy Taggard, NP
Nurse Practitioner · Clovis, CA
Practice location
782 Medical Center Dr E Ste 309
Clovis, CA 93611-6892
Mailing address
45 E River Park Pl W Ste 507
Fresno, CA 93720-1565
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95032205 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1679163489
Ivy Taggard, NP's National Provider Identifier is 1679163489, issued on Jan 25, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Clovis, CA. The record was last updated on Sep 5, 2025.