Individual
TAYLOR BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
315 EAST ST, JONESBORO, AR 72401-2915
(870) 932-4211
(870) 931-9141
Mailing address
5204 RESERVE DR, APT 103, JONESBORO, AR 72405
(985) 519-1508
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
226182
AR
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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