Provider Demographics
NPI:1811240120
Name:TAYLOR, NANCY JANE (CNP)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:JANE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:696 AUSTRIAN CT
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-6566
Mailing Address - Country:US
Mailing Address - Phone:513-207-1830
Mailing Address - Fax:513-444-4628
Practice Address - Street 1:696 AUSTRIAN CT
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-6566
Practice Address - Country:US
Practice Address - Phone:513-207-1830
Practice Address - Fax:513-444-4628
Is Sole Proprietor?:No
Enumeration Date:2012-10-24
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA-13913-NP363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology