Provider Demographics
NPI:1861933418
Name:PARRIS TAYLOR, MONIQUE (RDN, LDN)
Entity type:Individual
Prefix:
First Name:MONIQUE
Middle Name:
Last Name:PARRIS TAYLOR
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3364 LINCOYA CREEK DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-2784
Mailing Address - Country:US
Mailing Address - Phone:615-904-4525
Mailing Address - Fax:
Practice Address - Street 1:3364 LINCOYA CREEK DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-2784
Practice Address - Country:US
Practice Address - Phone:615-904-4525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-15
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1600133N00000X
TN944384133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist