Individual
ANGELA RIDGE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
961 SOUTH GLOSTER STREET, TUPELO, MS 38801
(662) 844-9166
(662) 844-0170
Mailing address
961 SOUTH GLOSTER STREET, TUPELO, MS 38801
(662) 844-9166
(662) 844-0170
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R853671
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0126044
—
MS
Enumeration date
07/19/2005
Last updated
09/30/2010
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