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

Taylor White-Wallace

Individual provider Licensed Practical Nurse · NPI 1366371684

Taylor White-Wallace is a Licensed Practical Nurse in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2026

Practice location Address checks out

6821 Medbury St
Detroit, MI 48211-3317
Phone: (313) 922-2222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703131365 (MI)

Record details

NPI number1366371684
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 14, 2026
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026
Mailing address6821 Medbury St, Detroit, MI 48211-3317

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