Individual
MARY JO TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
64 JOHN CROW HILL, CHEROKEE, NC 28719
(828) 497-9163
(828) 497-5343
Mailing address
64 JOHN CROW HILL, CHEROKEE, NC 28719
(828) 497-9163
(828) 497-5343
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
052135
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052135
LPN LIC
NC
Enumeration date
10/24/2008
Last updated
10/24/2008
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