Individual
JAANNA L TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
801 COTTAGE DR, LITTLE ROCK, AR 72205
(501) 686-8818
(501) 526-7217
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C002686
AR
367H00000X
Anesthesiologist Assistant
AP30008013
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079156
CCNA CERTIFICATION NUMBER
—
05
—
179143001
—
AR
01
—
AP30008013
STATE LICENSE
WA
Enumeration date
01/11/2008
Last updated
11/27/2023
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