Individual
JESSICA NICOLE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 W WASHINGTON AVE STE 220, JONESBORO, AR 72401-2780
(870) 919-3230
(870) 345-7235
Mailing address
PO BOX 453, JONESBORO, AR 72403-0453
(870) 919-3230
(870) 345-7235
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6546-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183305795
—
AR
01
—
5MM21
BCBS
AR
Enumeration date
06/06/2011
Last updated
06/28/2025
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