Marisa Jean Taylor, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000014707 Issued in TN

Practice address

470 N Parkway
Ste. C
Jackson, TN 38305-2812

Phone

(731) 300-3099

Fax

(731) 300-3163

NPI assigned

Apr 20, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1811213598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 N PARKWAY",
            "address_2": "STE. C",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052812",
            "telephone_number": "731-300-3099",
            "fax_number": "731-300-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 N PARKWAY",
            "address_2": "STE. C",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052812",
            "telephone_number": "731-300-3099",
            "fax_number": "731-300-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MARISA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-20",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000014707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi L Taylor, PHARM.D., BCPS
• Kaye F Taylor, PTA
• Keith Harrison Taylor, D.D.S.
• Lee Grafton Taylor, PHARMD
• Lori Taylor, PHD, DNP, FNP-C
• Natalie Taylor, MS
• Patricia A Taylor, LCSW
• Peyton Blair Taylor, RDH
• Ronald F Taylor, M.D.
• Sonya Taylor

• Family Nurse Practitioner in Jackson, TN
• Providers in Jackson, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.