Individual
JESSICA LYNN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPRC-A
Contact information
Practice address
4010 W 86TH ST STE D, INDIANAPOLIS, IN 46268-1779
(317) 647-0102
Mailing address
4010 W 86TH ST STE D, INDIANAPOLIS, IN 46268-1779
(317) 647-0102
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CAPRC1-6343
IN
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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