Individual
TERESA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1001 NW CHIPMAN RD STE 103, LEES SUMMIT, MO 64081-3912
(337) 991-9276
Mailing address
5750 JOHNSTON ST STE 205, LAFAYETTE, LA 70503-5345
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
2021045526
MO
Other
Enumeration date
11/15/2022
Last updated
01/06/2025
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