Individual
TAZIA SHANICE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
3203 DOGWOOD LN, CARMEL, IN 46032-9629
(317) 827-2987
(317) 219-0879
Mailing address
PO BOX 523882, C/O THE MAILBOX #10649, MIAMI, FL 33152
(317) 827-2987
(317) 219-0879
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71015521A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300094060
—
IN
Enumeration date
07/16/2024
Last updated
08/07/2024
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