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COURTNEY TAYLOR

Adult Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1215358395

Individual Registrant:
 COURTNEY  TAYLOR 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
29565 FROST ROAD SUITE C LIVINGSTON, LA 70754-7427 US
Tel: 225-686-1114  Fax: 225-686-1166

Contact information for business:
PO BOX 1567  LIVINGSTON, LA 70754-1567 US
Tel: 225-686-1114  Fax: 225-686-1166

Registration Information:
NPI: 1215358395
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LA2200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Adult Health
LAAP07533
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
LAAP07533
N363LW0102XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
LAAP07533

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
2354281LA05




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