Individual provider · Type 1 NPI

Ivy Taggard, NP

Nurse Practitioner · Clovis, CA

NPI number 1679163489 Active

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

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95032205 (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.