Individual
MR. JARROD WAYNE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
28730 AL HIGHWAY 99, SUITE D, ELKMONT, AL 35620-7951
(256) 232-1400
(256) 232-1425
Mailing address
PO BOX 1044, ATHENS, AL 35612-1044
(256) 232-1400
(256) 232-1425
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F0206076
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-41756
BCBS OF ALABAMA
AL
Enumeration date
05/09/2007
Last updated
05/11/2017
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