Provider Demographics
NPI:1154198992
Name:SCHILLING, TAYLOR JO (APRN-FNP)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:JO
Last Name:SCHILLING
Suffix:
Gender:F
Credentials:APRN-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:923 N 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-2844
Mailing Address - Country:US
Mailing Address - Phone:715-393-5780
Mailing Address - Fax:
Practice Address - Street 1:923 N 9TH AVE
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-2844
Practice Address - Country:US
Practice Address - Phone:715-393-5780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-11
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI231694163WC0200X
WI14991-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine