Individual
GINA WYNNE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1501 N BICKETT BLVD, LOUISBURG, NC 27549-2178
(919) 497-8382
(919) 497-8385
Mailing address
511 RUIN CREEK RD STE 101, HENDERSON, NC 27536-5919
(252) 436-0440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
133058
NC
363LF0000X
Family Nurse Practitioner
Primary
133058
NC
Other
Enumeration date
05/09/2022
Last updated
04/12/2023
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