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Individual

JENNIFER L TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.P.R.N.

Contact information

Practice address
23 LIBERTY DR, SUITE A, HEBRON, CT 06248-1553
(860) 228-1119
(860) 228-4314
Mailing address
23 LIBERTY DR, SUITE A, HEBRON, CT 06248-1553
(860) 228-1119
(860) 228-4314

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
002986
CT
363LF0000X
Family Nurse Practitioner
002986
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004253019
CT
Enumeration date
06/15/2006
Last updated
01/22/2014
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