Individual
JAMIE NICOLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCMA
Contact information
Practice address
5506 EDDIE AVE, MOSS POINT, MS 39563-5404
(228) 233-8086
Mailing address
5506 EDDIE AVE, MOSS POINT, MS 39563-5404
(228) 233-8086
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
3322-7849
MS
376K00000X
Nurse's Aide
CN0030021696
GA
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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