Taylor Rae Park is a Jerseyville, Illinois based nurse practitioner. Active license number of Taylor Rae Park is 209029415 for Family in Illinois. Her current practice location is 903 S State St, Jerseyville. Patients can reach her at 618-498-2273 or can fax her at 618-639-8100. Taylor Rae Park is NP and her NPI number (Unique professional ID assigned by NPPES) is 1780454389. Taylor Rae Park has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
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.
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:
12 Nov, 2024
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
209029415
Family
Illinois
Primary
2016023237
Registered Nurse
Missouri
Secondary
2023037394
Primary Care
Missouri
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
16161910
Other
CAQH ID
209029415
Other
Illinois
NP LICENSE
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 4015 Key Harbour Dr, Lake Saint Louis, Missouri
Zip:
63367-3001
Phone Number:
636-357-8982
Patients can reach Taylor Rae Park at 903 S State St, Jerseyville, Illinois or can call to book an appointment on 618-498-2273.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.