Provider Demographics
NPI:1952021289
Name:TAYLOR, CARMEN CHAPMAN (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:CHAPMAN
Last Name:TAYLOR
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:PO BOX 1223
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77347-1223
Mailing Address - Country:US
Mailing Address - Phone:832-519-8438
Mailing Address - Fax:
Practice Address - Street 1:505 N SAM HOUSTON PKWY E STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-4086
Practice Address - Country:US
Practice Address - Phone:832-392-4933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-29
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1095779363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty