Individual
ELLA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11732 HIGHWAY 121 S, LEXA, AR 72355-8772
(870) 295-0151
Mailing address
11732 HIGHWAY 121 S, LEXA, AR 72355-8772
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
P01369
AR
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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