Provider Demographics
NPI:1659193381
Name:GOBBLE, TAYLOR HONEYCUTT (FNP)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:HONEYCUTT
Last Name:GOBBLE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3120 ORGAN CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:ROCKWELL
Mailing Address - State:NC
Mailing Address - Zip Code:28138-6641
Mailing Address - Country:US
Mailing Address - Phone:704-640-3229
Mailing Address - Fax:
Practice Address - Street 1:3120 ORGAN CHURCH RD
Practice Address - Street 2:
Practice Address - City:ROCKWELL
Practice Address - State:NC
Practice Address - Zip Code:28138-6641
Practice Address - Country:US
Practice Address - Phone:704-640-3229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-24
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC279278163W00000X
NC5021127363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse