Provider Demographics
NPI:1962040568
Name:TAYLOR, ERICA N (APRN)
Entity type:Individual
Prefix:MS
First Name:ERICA
Middle Name:N
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:ERICA
Other - Middle Name:N
Other - Last Name:MCGUIRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:501 COMMERCE DRIVE
Mailing Address - Street 2:# 13341
Mailing Address - City:MAUMELLE
Mailing Address - State:AR
Mailing Address - Zip Code:72113
Mailing Address - Country:US
Mailing Address - Phone:501-838-7127
Mailing Address - Fax:
Practice Address - Street 1:11800 FINANCIAL CENTER PARKWAY
Practice Address - Street 2:STE 290
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211
Practice Address - Country:US
Practice Address - Phone:501-838-7127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-13
Last Update Date:2019-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR122842363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health