Individual
MR. JEFFERY ALAN TAYLOR SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
204 MEADOWS DR, GRAYLING, MI 49738-2013
(989) 348-0016
(989) 348-6434
Mailing address
204 MEADOWS DR, GRAYLING, MI 49738-2013
(989) 348-0016
(989) 348-6434
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704196960
MI
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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