TAYLOR WHITE-WALLACE
NPI 1366371684
Licensed Practical Nurse in Detroit, MI

Active since May 14, 2026
6821 MEDBURY ST, DETROIT, MI 48211(313) 922-2222 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Taylor White-wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAYLOR WHITE-WALLACE (NPI 1366371684) is an individual licensed practical nurse in Detroit, Michigan, licensed in Michigan (4703131365) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1366371684
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTAYLOR WHITE-WALLACE
Location Address6821 MEDBURY STDetroit, MI 48211-3317
Mailing Address6821 Medbury StDetroit, MI 48211-3317 · (313) 922-2222
Sole ProprietorYes
Enumeration DateMay 14, 2026
NPPES CertifiedMay 14, 2026
NPI 1366371684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in MI · 4703131365
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

6821 MEDBURY ST, Detroit, MI 48211

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Peer Specialist
6821 MEDBURY ST
DETROIT, MI 48211
Social Worker
6821 MEDBURY ST
DETROIT, MI 48211
Licensed Practical Nurse
6821 MEDBURY ST
DETROIT, MI 48211
Licensed Practical Nurse
6821 MEDBURY ST
DETROIT, MI 48211
Peer Specialist
6821 MEDBURY ST
DETROIT, MI 48211
Registered Nurse (Addiction (Substance Use Disorder))
6821 MEDBURY ST
DETROIT, MI 48211
Counselor (Addiction (Substance Use Disorder))
6821 MEDBURY ST
DETROIT, MI 48211
Licensed Practical Nurse
6821 MEDBURY ST
DETROIT, MI 48211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taylor White-wallace's NPI number?

The NPI number for Taylor White-wallace is 1366371684. It was assigned to this individual provider in the NPPES registry on May 14, 2026.

Where is Taylor White-wallace located?

Taylor White-wallace practices at 6821 Medbury St, Detroit, MI 48211. The listed phone number is (313) 922-2222.

What is Taylor White-wallace's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Taylor White-wallace was last updated on May 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.