| Cassie Bradley Taylor, FNP | |
| 
					11145 Highway 6 W, Thaxton, MS 38871-9024  | |
| (662) 489-8500 | |
| Not Available | 
| Full Name | Cassie Bradley Taylor | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 11145 Highway 6 W, Thaxton, Mississippi | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1265159123 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 905464 (Mississippi) | Primary | 
| Entity Name | Memorial Hospital At Gulfport | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396  | 
| Entity Name | Express Care Of Cleveland, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1780151381 PECOS PAC ID: 0547502387 Enrollment ID: O20190429000343  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Cassie Bradley Taylor, FNP 4976 Nesbit Rd, Nesbit, MS 38651-8402 Ph: (662) 419-4694  | Cassie Bradley Taylor, FNP 11145 Highway 6 W, Thaxton, MS 38871-9024 Ph: (662) 489-8500  | 
Caitlin Maree Defazio Williams, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11145 Highway 6 W, Thaxton, MS 38871 Phone: 662-489-8500  | |
Pamela Dianne Clegg-alderman, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11145 Highway 6 W, Thaxton, MS 38871 Phone: 662-489-8500 Fax: 662-489-8600  | |
Kacie Cameron Hollimon, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11145 Highway 6 W, Thaxton, MS 38871 Phone: 662-489-8500  | |
Mrs. Carley Walker Herndon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11145 Ms-6, Thaxton, MS 38871 Phone: 662-489-8500 Fax: 662-489-8600  |