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Individual
JENNA LYN TAYLOR
Active
Individual
JENNA LYN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
115776
OK
363L00000X
Nurse Practitioner
Primary
115776
OK
Other
Enumeration date
05/29/2019
Last updated
07/20/2026
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