Individual
JENNY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
350 SUNSET DRIVE, GRENADA, MS 38901
(662) 307-2750
Mailing address
3329 ATTALA ROAD 2247, KOSCIUSKO, MS 39090
(662) 633-2032
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902271
MS
Other
Enumeration date
02/10/2018
Last updated
02/10/2018
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