Provider Demographics
NPI:1730788944
Name:NEWMAN, TAYLOR REBECCA (PAC)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:REBECCA
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6223 NEW YORK AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-1335
Mailing Address - Country:US
Mailing Address - Phone:865-209-1213
Mailing Address - Fax:
Practice Address - Street 1:515 HIGHLAND TER
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-2472
Practice Address - Country:US
Practice Address - Phone:615-904-2010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-19
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant