Individual
TAYLOR STUART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
618 CHESTNUT RD STE 103, MYRTLE BEACH, SC 29572-5504
(843) 742-1264
Mailing address
618 CHESTNUT RD STE 103, MYRTLE BEACH, SC 29572-5504
(843) 742-1264
(843) 236-1879
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
237326
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024005728
SC
Other
Enumeration date
08/28/2023
Last updated
02/17/2026
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