Provider Demographics
NPI:1093258816
Name:TAYLOR, STEPHANIE E (RN)
Entity Type:Individual
Prefix:MISS
First Name:STEPHANIE
Middle Name:E
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3313 S BECKLEY AVE
Mailing Address - Street 2:TEEN PREGNANCY AND PARENTING PROGRAM
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75224-4003
Mailing Address - Country:US
Mailing Address - Phone:214-926-7146
Mailing Address - Fax:
Practice Address - Street 1:3313 S BECKLEY AVE
Practice Address - Street 2:TEEN PREGNANCY AND PARENTING PROGRAM
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75224-4003
Practice Address - Country:US
Practice Address - Phone:214-926-7146
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-28
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator