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Individual

JESSICA LORRAINE TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN ,DNP, CNM

Contact information

Practice address
520 N 4TH ST, SPRINGFIELD, IL 62702-5238
(217) 545-8000
(217) 757-8161
Mailing address
544 W PERSHING RD, DECATUR, IL 62526-3226
(217) 872-2400
(217) 875-4680

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209024795
IL
367A00000X
Advanced Practice Midwife
APRN9492930
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100819800
FL
Enumeration date
08/03/2018
Last updated
02/15/2023
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