Provider Demographics
NPI:1144029109
Name:HALL, TAYLOR DAWN (LPN)
Entity type:Individual
Prefix:MISS
First Name:TAYLOR
Middle Name:DAWN
Last Name:HALL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 BENTLEY DR
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-5704
Mailing Address - Country:US
Mailing Address - Phone:407-714-9910
Mailing Address - Fax:
Practice Address - Street 1:900 FOX VALLEY DR STE 208
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-2552
Practice Address - Country:US
Practice Address - Phone:407-714-9910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5251679164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse