Individual
TAYLOR JORDAN VIGIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1235 8TH ST, LAS VEGAS, NM 87701-4219
(505) 948-9275
Mailing address
550 NEW MEXICO HIGHWAY 105, ROCIADA, NM 87742-6002
(505) 948-9275
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57009
NM
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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