Individual
JEFFREY JASON TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
1700 S LINCOLN AVE, 1-2A, LEBANON, PA 17042-7529
(717) 272-6621
Mailing address
6412 CHELTON AVE, HARRISBURG, PA 17112-2389
(717) 540-1303
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN569835
PA
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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