Individual
JENNIFER ELIZABETH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1100 MERCER AVE, DECATUR, IN 46733-2303
(260) 724-2145
Mailing address
1100 MERCER AVE, DECATUR, IN 46733-2303
(260) 724-2145
(260) 728-3852
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
02005062A
IN
208600000X
Surgery Physician
5101019750
MI
Other
Enumeration date
06/26/2012
Last updated
04/10/2017
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