Provider Demographics
NPI:1487882155
Name:TAYLOR, BILLYNDA A (RN)
Entity type:Individual
Prefix:MRS
First Name:BILLYNDA
Middle Name:A
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:BILLYNDA
Other - Middle Name:A
Other - Last Name:REN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:110 CLIFFORD CT
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-5190
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:110 CLIFFORD CT
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-5190
Practice Address - Country:US
Practice Address - Phone:615-713-9129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-01
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN149586163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse