Provider Demographics
NPI:1699570671
Name:PARRISH, TAYLOR MORGAN
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:MORGAN
Last Name:PARRISH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 OLD CITY BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:PERKINSTON
Mailing Address - State:MS
Mailing Address - Zip Code:39573-5207
Mailing Address - Country:US
Mailing Address - Phone:228-669-7500
Mailing Address - Fax:
Practice Address - Street 1:3179 MALLETT RD STE 4
Practice Address - Street 2:
Practice Address - City:DIBERVILLE
Practice Address - State:MS
Practice Address - Zip Code:39540-9303
Practice Address - Country:US
Practice Address - Phone:228-289-2772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS907232363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily