Individual
TRACY L. TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1337C N RACE ST, GLASGOW, KY 42141-3427
(270) 659-5622
(270) 659-5686
Mailing address
1337C N RACE ST, GLASGOW, KY 42141-3427
(270) 659-2562
(270) 659-5686
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3010757
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3010757
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100433330
—
KY
01
—
K360850
MEDICARE
KY
Enumeration date
10/17/2016
Last updated
01/08/2025
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