Individual
MRS. TIFFANY BERNICE WILSON TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
3372 SIX FORKS RD, RALEIGH, NC 27609-7233
(919) 322-2035
(919) 322-2051
Mailing address
3372 SIX FORKS RD, RALEIGH, NC 27609-7233
(919) 322-2035
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
TAYL-WKT6F
NC
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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