# JOHN A TAYLOR MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710166780
- **Authorized official:** MRS. VANESSA ELENA TOMLINSON (OFFICE MANAGER)
- **Authorized official phone:** (615) 325-6755

## Contact information

- **Practice address:** 307 S BROADWAY, PORTLAND, TN 37148-1413
- **Practice address phone:** (615) 325-6755
- **Practice address fax:** (615) 325-6936
- **Mailing address:** 307 S BROADWAY, PORTLAND, TN 37148-1413
- **Mailing address phone:** (615) 325-6755
- **Mailing address fax:** (615) 325-6936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD0000015302 | TN | Yes |
| 363L00000X | Nurse Practitioner | APN0000006807 | TN | — |
| 363L00000X | Nurse Practitioner | APN0000012218 | TN | — |

## Other

- **Enumeration date:** 10/26/2007
- **Last updated:** 10/26/2007