Provider Demographics
NPI:1588686208
Name:TAYLOR, YOLUNDA JOHNSON (MD)
Entity type:Individual
Prefix:MRS
First Name:YOLUNDA
Middle Name:JOHNSON
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:YOLUNDA
Other - Middle Name:J
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:500 RUE DE LA VIE ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70817-5126
Mailing Address - Country:US
Mailing Address - Phone:225-201-0413
Mailing Address - Fax:225-935-2190
Practice Address - Street 1:500 RUE DE LA VIE ST
Practice Address - Street 2:SUITE 310
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70817-5126
Practice Address - Country:US
Practice Address - Phone:225-201-0413
Practice Address - Fax:225-935-2190
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA14299R207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1104442Medicaid
LABT6827983OtherDEA
LAH32397Medicare UPIN
LABT6827983OtherDEA