Provider Demographics
NPI:1649940214
Name:SKELTON, TAYLOR EUGENE (DNAP)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:EUGENE
Last Name:SKELTON
Suffix:
Gender:M
Credentials:DNAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1279
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33443-1279
Mailing Address - Country:US
Mailing Address - Phone:678-234-2474
Mailing Address - Fax:
Practice Address - Street 1:1801 W END AVE STE 700
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2553
Practice Address - Country:US
Practice Address - Phone:678-234-2474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-15
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN37943367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered