Individual
KOREY DANIELLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2249 BOREN BLVD STE A, SEMINOLE, OK 74868-1927
(580) 436-5111
(580) 436-1159
Mailing address
207 W 1ST STREET, WEWOKA, OK 74884
(405) 257-5422
(405) 257-5463
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201703
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001084
OBNDD
OK
05
—
200985450A
—
OK
Enumeration date
05/04/2021
Last updated
08/22/2025
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