Individual
MS. DEBRA B. TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2500 NORTH STATE STREET, ENDOCRINOLOGY, JACKSON, MS 39216-4500
(601) 984-5525
(601) 984-5769
Mailing address
2500 NORTH STATE STREET, DEPT OF ENDO, JACKSON, MS 39216-4500
(601) 984-5525
(601) 984-5769
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
782722
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07872714
—
MS
Enumeration date
03/23/2007
Last updated
09/04/2018
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