Provider Demographics
NPI:1922680297
Name:TAYLON, NICOLE (DNP)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:
Last Name:TAYLON
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:
Other - Last Name:SZTOKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17065 US HWY 71
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:MO
Mailing Address - Zip Code:64012
Mailing Address - Country:US
Mailing Address - Phone:843-452-4042
Mailing Address - Fax:
Practice Address - Street 1:1010 CARONDELET DR STE 121
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-4859
Practice Address - Country:US
Practice Address - Phone:816-912-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-26
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021014783363LA2200X
KS53-78784-092363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health