Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mitzie Johnson Taylor, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1124832688

Mitzie Johnson Taylor, FNP-BC is a Nurse Practitioner in Ft Lauderdale, Florida. Qualified in 2021, 5 years ago. Practices with Pcma Palliative Division LLC, a 74-clinician group. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2025
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

3300 S University Dr
Ft Lauderdale, FL 33328-2004
Phone: (754) 224-9865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11037479 (FL)

Record details

NPI number1124832688
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedFebruary 5, 2025
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Pcma Palliative Division Llc — 74 clinicians
Accepts Medicare assignment Not indicated

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