Provider Demographics
NPI:1043230311
Name:TAYLOR, BILLY JOE JR (RNFA)
Entity Type:Individual
Prefix:
First Name:BILLY
Middle Name:JOE
Last Name:TAYLOR
Suffix:JR
Gender:M
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9601 LILE DR STE 750
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6370
Mailing Address - Country:US
Mailing Address - Phone:501-225-0880
Mailing Address - Fax:501-228-0046
Practice Address - Street 1:9601 LILE DR STE 750
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6370
Practice Address - Country:US
Practice Address - Phone:501-225-0880
Practice Address - Fax:501-228-0046
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR67456163WN0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0800XNursing Service ProvidersRegistered NurseNeuroscience