Provider Demographics
NPI:1376245902
Name:TAYLOR, RACHEL MCCOLLUM (DNP, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:MCCOLLUM
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:LYNNN
Other - Last Name:MCCOLLUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1716 PARR AVE STE F
Mailing Address - Street 2:
Mailing Address - City:DYERSBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38024-2074
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1716 PARR AVE STE F
Practice Address - Street 2:
Practice Address - City:DYERSBURG
Practice Address - State:TN
Practice Address - Zip Code:38024-2074
Practice Address - Country:US
Practice Address - Phone:731-285-1933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN33644363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily