Provider Demographics
NPI:1487473781
Name:TAYLOR, PAUL (FNP-C)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2309 FAIRCLOTH WAY
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-8218
Mailing Address - Country:US
Mailing Address - Phone:336-340-2568
Mailing Address - Fax:
Practice Address - Street 1:1011 HIGH POINT ST
Practice Address - Street 2:
Practice Address - City:RANDLEMAN
Practice Address - State:NC
Practice Address - Zip Code:27317-7192
Practice Address - Country:US
Practice Address - Phone:336-498-0226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-04
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5020948363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily