Provider Demographics
NPI:1003630898
Name:HEDGECOCK, TAYLOR ELISE SCHELSTRAETE (WHNP-BC, DNP)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:ELISE SCHELSTRAETE
Last Name:HEDGECOCK
Suffix:
Gender:F
Credentials:WHNP-BC, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 SAYBROOK XING
Mailing Address - Street 2:
Mailing Address - City:THOMPSONS STATION
Mailing Address - State:TN
Mailing Address - Zip Code:37179-5343
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7155 KENTWELL LN STE 1
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-6769
Practice Address - Country:US
Practice Address - Phone:402-858-2052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-09
Last Update Date:2024-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN37003363LW0102X
NE115666363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health