Individual
MS. TELISA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
199 OAK ST, PEMBROKE, MA 02359-1912
(202) 528-7595
Mailing address
173 ST PATRICK DRIVE STE 104, #114, WALDORF, MD 20603
(202) 528-7595
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R180238
MD
Other
Enumeration date
10/25/2021
Last updated
04/14/2022
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