Individual
TYESHA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5410
Mailing address
17050 MEDICAL CENTER DR, BATON ROUGE, LA 70816-3221
(252) 761-5400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09770
LA
Other
Enumeration date
05/09/2018
Last updated
11/17/2021
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