Individual
MRS. TAYLOR GABRIELLE LUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
118 FAIRFIELD DR, NEW ALBANY, MS 38652-3107
(662) 534-0898
(662) 534-8905
Mailing address
118 FAIRFIELD DR, NEW ALBANY, MS 38652-3107
(662) 534-0898
(662) 534-8905
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
906366
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200011003
—
MS
Enumeration date
02/09/2021
Last updated
09/12/2024
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