Individual
MRS. BEVERLY R TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2578 FONTAINE RD, MEMPHIS, TN 38106-8531
(901) 238-8624
Mailing address
2578 FONTAINE RD, MEMPHIS, TN 38106-8531
(901) 238-8624
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
0000065918
TN
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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