Individual
MRS. JESSICA L TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10620 SPOTSYLVANIA AVE, FREDERICKSBURG, VA 22408-2637
(540) 710-1086
Mailing address
385 GARRISONVILLE RD, STE 205, STAFFORD, VA 22554-1599
(540) 710-1086
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN134886
AZ
363LF0000X
Family Nurse Practitioner
Primary
0024173708
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156167
AHCCCS NUMBER
AZ
Enumeration date
01/18/2007
Last updated
08/18/2021
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