Provider Demographics
NPI:1356102990
Name:HENSON, TAYLOR VICTORIA (FNP)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:VICTORIA
Last Name:HENSON
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 1:2506 PRESSMEN DR
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-7869
Mailing Address - Country:US
Mailing Address - Phone:330-285-2903
Mailing Address - Fax:
Practice Address - Street 1:2506 PRESSMEN DR
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-7869
Practice Address - Country:US
Practice Address - Phone:330-285-2903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-22
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0036846363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily