Provider Demographics
NPI:1407557747
Name:HELLIN, TAYLOR THEOBALD (DNP, FNP-BC)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:THEOBALD
Last Name:HELLIN
Suffix:
Gender:F
Credentials:DNP, FNP-BC
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1275 DICK LONAS RD UNIT 101
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-1383
Mailing Address - Country:US
Mailing Address - Phone:865-584-4747
Mailing Address - Fax:865-381-1509
Practice Address - Street 1:1031 W MADISON AVE STE 1
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TN
Practice Address - Zip Code:37303-3496
Practice Address - Country:US
Practice Address - Phone:423-745-6575
Practice Address - Fax:833-916-2416
Is Sole Proprietor?:No
Enumeration Date:2023-03-14
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN31716363LA2200X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health