Individual
JACQUELINE FAIRLEY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
RN
Contact information
Practice address
441 SHADOWOOD DR, RIDGELAND, MS 39157-4131
(318) 332-6381
Mailing address
441 SHADOWOOD DR, RIDGELAND, MS 39157-4131
(318) 332-6381
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
906139
MS
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
03/14/2025
Last updated
03/19/2025
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