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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) 200-5790
(601) 200-0373
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(601) 200-5790
(225) 765-9196

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
06/22/2026
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