Provider Demographics
NPI:1568259265
Name:TAYLOR CORTEZ, ANGELINA (RN)
Entity type:Individual
Prefix:
First Name:ANGELINA
Middle Name:
Last Name:TAYLOR CORTEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2620 N MOUNT JULIET RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-8015
Mailing Address - Country:US
Mailing Address - Phone:615-773-6455
Mailing Address - Fax:615-773-4001
Practice Address - Street 1:2620 N MOUNT JULIET RD
Practice Address - Street 2:
Practice Address - City:MOUNT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-8015
Practice Address - Country:US
Practice Address - Phone:615-773-6455
Practice Address - Fax:615-773-4001
Is Sole Proprietor?:No
Enumeration Date:2025-04-24
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000209548163WE0003X, 163WX0002X, 163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WE0003XNursing Service ProvidersRegistered NurseEmergency
No163WX0002XNursing Service ProvidersRegistered NurseObstetric, High-Risk