Provider Demographics
NPI:1023211521
Name:TAYLOR, FLOYE L (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:FLOYE
Middle Name:L
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 OFFICE PARK DR STE 3
Mailing Address - Street 2:
Mailing Address - City:BRYANT
Mailing Address - State:AR
Mailing Address - Zip Code:72022-7536
Mailing Address - Country:US
Mailing Address - Phone:501-847-2835
Mailing Address - Fax:501-847-3802
Practice Address - Street 1:408 OFFICE PARK DR STE 3
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-7536
Practice Address - Country:US
Practice Address - Phone:501-847-2835
Practice Address - Fax:501-847-3802
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0093951363LW0102X
ARA003010363LW0102X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200223890AMedicaid
AR255106ZHKLOtherMEDICARE
OK401957Medicare PIN