DEONTRANESE TREVA TAYLOR NPI 1619211992

NPI Information

  • NPI: 1619211992
  • Provider Name: DEONTRANESE TREVA TAYLOR
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 314 MAIN ST STE D
    MONTICELLO, MS
    ZIP 39654
  • Phone: (601) 587-4304

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NPI Details

Deontranese Treva Taylor is a psychiatric/mental health nurse practitioner in Monticello, MS with 3 years of experience. Deontranese Treva Taylor NPI is 1619211992. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

314 MAIN ST STE D
MONTICELLO, MS
ZIP 39654-702
Phone: (601) 587-4304

The NPI 1619211992 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/27/2012 and was last updated on 11/22/2023.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthR865884MISSISSIPPIYes
2363LF0000XNurse PractitionerFamilyR865884MISSISSIPPINo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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