Individual
DR. JARED KEROME TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 200-3100
(601) 200-8846
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-3100
(601) 200-8846
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
23662
MS
2084P0800X
Psychiatry Physician
T-2608
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01600357
—
MS
01
—
1M9131
MEDICARE ST DOM
MS
Enumeration date
07/11/2012
Last updated
03/31/2023
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