Individual
JEREMY D TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
20449 N LAKE PLEASANT RD, PEORIA, AZ 85382-2654
(623) 322-0099
Mailing address
11747 W FOOTHILL DR, SUN CITY, AZ 85373-5477
(602) 622-6230
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
241027
AZ
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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