Individual
MISS TAYLOR DAIL JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
6335 S EAST ST, INDIANAPOLIS, IN 46227-7112
(317) 783-7474
(317) 783-2283
Mailing address
7613 KEMBERTON DR E, NOLENSVILLE, TN 37135-4036
(859) 707-8821
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
KY
Other
Enumeration date
12/13/2015
Last updated
03/15/2017
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