Provider Demographics
NPI:1215792825
Name:TAYLOR, DAWN BRASSETTE (RN-BSN)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:BRASSETTE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:RN-BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75357 HIGHWAY 437
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70435-7773
Mailing Address - Country:US
Mailing Address - Phone:985-773-8674
Mailing Address - Fax:
Practice Address - Street 1:75357 HIGHWAY 437
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70435-7773
Practice Address - Country:US
Practice Address - Phone:985-773-8674
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN157898163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health