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

Mr. Wendell Reginald Taylor Jr.

Individual provider Family Nurse Practitioner · NPI 1063069466

Mr. Wendell Reginald Taylor Jr. is a Nurse Practitioner in Fairbanks, Alaska. Qualified in 2019, 7 years ago. Practices with Tanana Valley Clinic LLC, a 142-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alaska and Ohio.

Years since qualifying
7
Licensed in
AK, OH
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1650 Cowles St
Fairbanks, AK 99701-5907
Phone: (907) 458-2682
Fax: (907) 458-2628
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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 234580 (AK)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 025228 (OH)

Record details

NPI number1063069466
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 20, 2019
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Tanana Valley Clinic Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fairbanks