Provider Demographics
NPI:1356715874
Name:TAYLOR, ASHLEY (NP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 COUNTY ROAD 437
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055-0204
Mailing Address - Country:US
Mailing Address - Phone:256-615-2055
Mailing Address - Fax:256-747-5219
Practice Address - Street 1:1225 COUNTY ROAD 437
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-0204
Practice Address - Country:US
Practice Address - Phone:256-615-2055
Practice Address - Fax:256-747-5219
Is Sole Proprietor?:No
Enumeration Date:2015-11-20
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-102887363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner