Taylor Rae Park, NP
Taylor Rae Park, NP is a Nurse Practitioner in Florissant, Missouri. Qualified in 2022, 4 years ago. Practices with Physician Groups Lc, a 524-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.
- Years since qualifying
- 4
- Licensed in
- IL, MO
- In the registry since
- 2024
- Specialties on file
- 4
What do these letters mean?
- NP — Nurse Practitioner
- An advanced practice nurse who can diagnose, treat and in most states prescribe.
Practice location Address checks out
1225 Graham Rd Ste C-1340Florissant, MO 63031-8019
Phone: (314) 953-8271
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 903 S State St, Jerseyville, IL 62052-2344 — (618) 498-2273
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 2023037394 (MO) |
|---|---|
| Primary Care Nurse Practitioner | Taxonomy 363LP2300X · Licence 2023037394 (MO) |
| Registered Nurse | Taxonomy 163W00000X · Licence 2016023237 (MO) |
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence 209029415 (IL) |
Record details
| NPI number | 1780454389 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NP |
| Sole proprietor | No |
| NPI enumerated | January 4, 2024 |
| Last updated in NPPES | September 17, 2025 |
| Certification date | September 17, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Physician Groups Lc — 524 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Florissant
-
Curtis 4 Care Family Practice
2782 N Highway 67, Florissant, MO 63033-1402 · (314) 449-0934