Individual
JENA M TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12214 BENHAM AVE, CLEVELAND, OH 44105-1910
(216) 320-7720
Mailing address
12214 BENHAM AVE, CLEVELAND, OH 44105-1910
(216) 320-7720
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN449784
OH
164W00000X
Licensed Practical Nurse
PN.103034
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2683958
—
OH
Enumeration date
12/24/2007
Last updated
05/03/2021
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