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Individual

TAYLOR JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
905 JOHNS HOPKINS DR, GREENVILLE, NC 27834-2056
(252) 744-1406
(252) 744-2419
Mailing address
905 JOHNS HOPKINS DR, GREENVILLE, NC 27834-2056
(252) 744-1406
(252) 744-2419

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
292999
NC

Other

Enumeration date
05/20/2024
Last updated
11/01/2024
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