Individual
JENNIFER L TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(205) 412-0585
Mailing address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(205) 412-0585
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R807373
MS
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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