Individual
JAN G TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LSPE
Contact information
Practice address
123 COLLEGE ST, MONTEAGLE, TN 37356
(931) 924-2004
(931) 924-4900
Mailing address
PO BOX 845, MONTEAGLE, TN 37356
(931) 924-2004
(931) 924-4900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3135221
BCBS
TN
Enumeration date
12/04/2006
Last updated
07/08/2007
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