Provider Demographics
NPI:1780298620
Name:TAYLOR, TARA LYNNE (CPNP-PC)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:LYNNE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:CPNP-PC
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Other - First Name:
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Mailing Address - Street 1:4707 BUCKINGHAM CT
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-4261
Mailing Address - Country:US
Mailing Address - Phone:804-748-9090
Mailing Address - Fax:804-751-4815
Practice Address - Street 1:4707 BUCKINGHAM CT
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-4261
Practice Address - Country:US
Practice Address - Phone:804-748-9090
Practice Address - Fax:804-751-4815
Is Sole Proprietor?:No
Enumeration Date:2020-09-08
Last Update Date:2025-10-09
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Provider Licenses
StateLicense IDTaxonomies
VA0024179026363LP2300X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care