| Taylor Greene, APRN-FNP | |
| 3300 Dairy Rd, Titusville, FL 32796-1512 | |
| (321) 269-6530 | |
| (321) 269-2334 | 
| Full Name | Taylor Greene | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 3300 Dairy Rd, Titusville, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1780446617 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 9512246 (Florida) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 11031825 (Florida) | Primary | 
| Entity Name | Indian River Medical Office Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1245220557 PECOS PAC ID: 2668527201 Enrollment ID: O20090902000508 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Taylor Greene, APRN-FNP 951 N Washington Ave, Titusville, FL 32796-2163 Ph: (321) 200-6910 | Taylor Greene, APRN-FNP 3300 Dairy Rd, Titusville, FL 32796-1512 Ph: (321) 269-6530 | 
| Nikolaos Koukos, ARNP-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3045 Columbia Blvd Ste 108a, Titusville, FL 32780 Phone: 321-264-9176 | |
| Kylie Burket,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 807 Cheney Hwy, Titusville, FL 32780 Phone: 321-567-4237 | |
| Rebecca J Human, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1855 Knox Mcrae Dr, Titusville, FL 32780 Phone: 321-269-2028 Fax: 321-264-0730 | |
| Debra Allen, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Dairy Rd, Titusville, FL 32796 Phone: 321-269-6530 Fax: 321-269-2334 | |
| Kylie Woodhouse, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1785 Garden St, Titusville, FL 32796 Phone: 321-269-9612 Fax: 321-269-8433 | |
| Rebecca Fobes, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 836 Century Medical Dr, Titusville, FL 32796 Phone: 321-383-9393 Fax: 321-268-6237 | |
| Dawn Michele Hillebrandt, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 Harrison Street, Parrish Medical Group, Titusville, FL 32780 Phone: 321-268-6868 Fax: 321-267-2713 |