Taylor Rae Park is a Florissant, Missouri based nurse practitioner who is specialized as Primary Care nurse. Active license number of Taylor Rae Park is 2023037394 in Missouri. Her current practice location is 1225 Graham Rd Ste C-1340, Florissant. Patients can reach her at 314-953-8271. Taylor Rae Park is NP with specialization in Primary Care and her NPI number (Unique professional ID assigned by NPPES) is 1780454389. Taylor Rae Park is educated, certified and licensed to provide comprehensive, chronic, continuous care characterized by a long-term relationship with the patient. Primary Care Nurse Practitioners (PCNPs) screen, diagnose, and treat common acute and chronic medical diseases and conditions. They are also involved in health promotion, screening, and educating about primary prevention.
Complete Profile:
Taylor Rae Park speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Taylor Rae Park
Specialization:
Primary Care Nurse Practitioner (PCNP)
Gender:
Female
Credentials:
NP
Practice Address:
1225 Graham Rd Ste C-1340, Florissant, Missouri, 63031-8019
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1780454389
NPI Enumeration Date:
04 Jan, 2024
NPI Last Update On:
17 Sep, 2025
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Taylor Rae Park are as mentioned below.
License Number
Specialization
State
Status
2023037394
Missouri
Primary
2023037394
Primary Care
Missouri
Secondary
2016023237
Registered Nurse
Missouri
Secondary
209029415
Family
Illinois
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Taylor Rae Park such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
209029415
Other
Illinois
NP LICENSE
16161910
Other
CAQH ID
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Taylor Rae Park Po Box 959354, Saint Louis, Missouri
Zip:
63195-9354
Phone Number:
314-953-8271
Fax Number:
314-953-8272
Patients can reach Taylor Rae Park at 1225 Graham Rd Ste C-1340, Florissant, Missouri or can call to book an appointment on 314-953-8271.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.