Provider Demographics
NPI:1760208474
Name:SCOTT, TAYLOR (DNP, FNP-C)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11803 SOUTH FWY
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-7012
Mailing Address - Country:US
Mailing Address - Phone:817-714-4197
Mailing Address - Fax:
Practice Address - Street 1:11803 SOUTH FWY STE 206
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-7030
Practice Address - Country:US
Practice Address - Phone:817-806-1135
Practice Address - Fax:817-806-1136
Is Sole Proprietor?:No
Enumeration Date:2024-11-26
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1180656363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily