Individual
DR. PHYLISS NICOLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
655 W 8TH ST, UFJP PSYCHIATRY, JACKSONVILLE, FL 32209-6511
(904) 244-3688
Mailing address
PO BOX 44008, UFJP PSYCHIATRY, JACKSONVILLE, FL 32231-4008
(904) 244-3688
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2003-01460
NC
2084P0800X
Psychiatry Physician
Primary
ME 103977
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015851-00
—
FL
Enumeration date
07/03/2006
Last updated
01/20/2011
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