Individual
MR. TRACY HUNTER TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, PMHNP-BC
Contact information
Practice address
425 N FREDONIA ST, LONGVIEW, TX 75601-6464
(903) 758-2610
(903) 758-7081
Mailing address
1107 E MARSHALL AVE, LONGVIEW, TX 75601-5602
(903) 758-2610
(903) 758-7081
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
—
—
363L00000X
Nurse Practitioner
AP145177
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
864711
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP145177
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP145177
TEXAS APRN LICENSE
TX
Enumeration date
04/16/2007
Last updated
01/28/2026
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