Provider Demographics
NPI:1700282233
Name:EASON, TAYLOR (FNP-BC)
Entity Type:Individual
Prefix:MISS
First Name:TAYLOR
Middle Name:
Last Name:EASON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TAYLOR EASON HOLISTIC WELLNESS, LLC
Mailing Address - Street 2:26789 WOODWARD AVE SUITE 107
Mailing Address - City:HUNTINGTON WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48070
Mailing Address - Country:US
Mailing Address - Phone:248-509-2280
Mailing Address - Fax:888-612-0625
Practice Address - Street 1:TAYLOR EASON HOLISTIC WELLNESS, LLC
Practice Address - Street 2:26789 WOODWARD AVE SUITE 107
Practice Address - City:HUNTINGTON WOODS
Practice Address - State:MI
Practice Address - Zip Code:48070
Practice Address - Country:US
Practice Address - Phone:248-509-2280
Practice Address - Fax:888-612-0625
Is Sole Proprietor?:No
Enumeration Date:2014-11-11
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704278827363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily