Individual provider · Type 1 NPI

Taylor Sullivan Mara

Nurse Practitioner · Birmingham, AL

NPI number 1699419010 Active

Practice location

810 Saint Vincents Dr
Birmingham, AL 35205-1601

Fax (904) 212-1618

Mailing address

7751 Belfort Pkwy Ste 120
Jacksonville, FL 32256-6921

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1-175897 (AL)

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 1699419010

Taylor Sullivan Mara's National Provider Identifier is 1699419010, issued on Apr 21, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Birmingham, AL. The record was last updated on Aug 7, 2025.