Individual
ADAM NAKUMA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
806 UNIVERSAL ST, JEFFERSON CITY, TN 37760-2338
(865) 438-0517
(865) 262-0723
Mailing address
806 UNIVERSAL ST, JEFFERSON CITY, TN 37760-2338
(865) 438-0517
(865) 262-0723
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
L000000020893
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q015619
—
TN
Enumeration date
04/05/2019
Last updated
06/11/2019
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