Provider Demographics
NPI:1831704733
Name:BENSON, TAYLOR (MS, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:BENSON
Suffix:
Gender:F
Credentials:MS, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 BRENTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HEATH
Mailing Address - State:TX
Mailing Address - Zip Code:75032-6606
Mailing Address - Country:US
Mailing Address - Phone:469-235-7203
Mailing Address - Fax:
Practice Address - Street 1:220 SW WILSHIRE BLVD
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-4714
Practice Address - Country:US
Practice Address - Phone:817-447-8080
Practice Address - Fax:817-447-7627
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-09
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP145604363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care