Provider Demographics
NPI:1720601610
Name:BECK, TAYLOR BAILEY (DNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:BAILEY
Last Name:BECK
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 E FAIRFIELD RD
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27263-2331
Mailing Address - Country:US
Mailing Address - Phone:336-420-6182
Mailing Address - Fax:
Practice Address - Street 1:1635 NC HIGHWAY 66 S STE 210
Practice Address - Street 2:
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-3886
Practice Address - Country:US
Practice Address - Phone:336-992-1770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-26
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5015098363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily