Individual
JENNIFER L TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
336 S RIVER AVE, HOLLAND, MI 49423-3326
(616) 394-3788
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
(616) 486-6702
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704251388
MI
Other
Enumeration date
11/12/2010
Last updated
07/25/2014
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