Individual
JESSICA LEE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 W 16TH ST, GREELEY, CO 80634-6862
(970) 978-4386
Mailing address
3308 GRENACHE ST, EVANS, CO 80634-8888
(720) 809-2488
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.0335037
CO
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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