Individual
BRITTANY CLAYTON TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
703 ALCORN DR STE 109, CORINTH, MS 38834
(662) 286-1499
(662) 293-9401
Mailing address
401 ALCORN DR STE 2C, CORINTH, MS 38834-9073
(662) 293-7266
(662) 293-6255
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
902279
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00854387
—
MS
01
—
618557ZZP6
MS MEDICARE PTAN
MS
Enumeration date
09/08/2017
Last updated
08/21/2018
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