Provider Demographics
NPI:1568559284
Name:TAYLOR, CHERRI DAWN (EMT-P)
Entity Type:Individual
Prefix:MRS
First Name:CHERRI
Middle Name:DAWN
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:EMT-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 SELBY ST
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:TN
Mailing Address - Zip Code:38583-2136
Mailing Address - Country:US
Mailing Address - Phone:931-836-3187
Mailing Address - Fax:931-836-3398
Practice Address - Street 1:516 W BOCKMAN WAY
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:TN
Practice Address - Zip Code:38583-1538
Practice Address - Country:US
Practice Address - Phone:931-836-3187
Practice Address - Fax:931-836-3398
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN015496146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic