Provider Demographics
NPI:1346240645
Name:TAYLOR, STEPHEN M (APRN,FNP-C, DC)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:M
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:APRN,FNP-C, DC
Other - Prefix:
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Mailing Address - Street 1:5100 N BROOKLINE AVE STE 465
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-3625
Mailing Address - Country:US
Mailing Address - Phone:405-917-5336
Mailing Address - Fax:813-877-6941
Practice Address - Street 1:4150 N ARMENIA AVE STE 102
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6448
Practice Address - Country:US
Practice Address - Phone:813-877-6900
Practice Address - Fax:813-877-6941
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-28
Last Update Date:2023-06-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK4512111N00000X
TX6788111N00000X
FL9504823163WW0000X
FL11012467363LF0000X
OK207940363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No111N00000XChiropractic ProvidersChiropractor
No163WW0000XNursing Service ProvidersRegistered NurseWound Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F7871Medicare PIN