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Individual

JOUEL TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
104 MEDSPRING DR STE 100, CLAYTON, NC 27520-9687
(919) 359-3500
Mailing address
2406 BLUE RIDGE RD STE 100, RALEIGH, NC 27607-6692
(919) 786-5001
(919) 786-5051

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
239771
NC
363LP0200X
Pediatric Nurse Practitioner
5008824
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1487108445
NC
Enumeration date
08/08/2016
Last updated
03/08/2022
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