Provider Demographics
NPI:1194443036
Name:TAYLOR, CHRISTINA LEANN (APRN-BC)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:LEANN
Last Name:TAYLOR
Suffix:
Gender:
Credentials:APRN-BC
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:LEANN
Other - Last Name:HYATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-BC
Mailing Address - Street 1:1150 17TH ST
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-3617
Mailing Address - Country:US
Mailing Address - Phone:727-458-5281
Mailing Address - Fax:
Practice Address - Street 1:708 DRUID RD E
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3914
Practice Address - Country:US
Practice Address - Phone:727-446-1097
Practice Address - Fax:833-941-2542
Is Sole Proprietor?:No
Enumeration Date:2022-08-17
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11020850363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL12033110Medicaid