Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
1 | 363LA2200X | Nurse Practitioner | Adult Health | 9206716 | FLORIDA | No |
2 | 103T00000X | Psychologist | | PY 6203 | FLORIDA | No |
3 | 103TC0700X | Psychologist | Clinical | 071-005311 | ILLINOIS | No |
4 | 363LP0808X | Nurse Practitioner | Psychiatric/Mental Health | APN 0000011387 | TENNESSEE | No |
5 | 363LP0808X | Nurse Practitioner | Psychiatric/Mental Health | APN 2602 | SOUTH CAROLINA | No |
6 | 363LP0808X | Nurse Practitioner | Psychiatric/Mental Health | 196911NP | GEORGIA | No |
7 | 103TC0700X | Psychologist | Clinical | PSY003277 | GEORGIA | Yes |