Individual
DR. JADE SELINA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4265 LAC SAINT PIERRE DR APT A, APT A, HARVEY, LA 70058-6548
(504) 479-1255
Mailing address
4265 LAC SAINT PIERRE DR APT A, APT A, HARVEY, LA 70058-6548
(504) 479-1255
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
1124720503
LA
246YR1600X
Registered Record Administrator
Primary
1124720503
LA
246YR1600X
Registered Record Administrator
Primary
3232841
LA
247000000X
Health Information Technician
1124720503
LA
247000000X
Health Information Technician
3232841
LA
261QP2300X
Primary Care Clinic/Center
1831999812
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124720503
—
LA
05
—
1831999812
—
LA
Enumeration date
03/20/2023
Last updated
05/04/2026
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