Individual
MRS. JACQUELYN KYLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(323) 284-3200
Mailing address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(323) 284-3200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95025781
CA
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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