Individual
ANGELA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
499 S GLOSTER ST, TUPELO, MS 38801-5539
(662) 690-8007
Mailing address
61072 HIGHWAY 278 E, AMORY, MS 38821-8400
(256) 627-3700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-059498
AL
163W00000X
Registered Nurse
Primary
R883913
MS
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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