Individual
JESSICA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
2494 N LEBANON ST, LEBANON, IN 46052-1111
(317) 482-2076
Mailing address
9040 ANDES DR, INDIANAPOLIS, IN 46234-2011
(317) 986-9438
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28231487A
IN
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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