Individual
MARY ELLEN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1818 COLLEGE DRIVE, MERIDIAN, MS 39304
(601) 581-7603
Mailing address
1314 19TH AVE, MERIDIAN, MS 39301-4116
(601) 703-4200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902940
MS
Other
Enumeration date
09/23/2018
Last updated
10/16/2020
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