Individual
MILDRED JEAN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
37 HWY 343, 37 HWY 343, NEON, KY 41840-4184
(606) 794-3277
(606) 832-0194
Mailing address
1207 HIGHWAY 805, NEON, KY 41840-9051
(606) 634-7857
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
3017623
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
KY
Enumeration date
04/27/2022
Last updated
04/27/2022
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