Individual
TAYLOR JONES MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 812-2426
Mailing address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 812-2426
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3-000584
AL
363LA2200X
Adult Health Nurse Practitioner
RN240394
GA
Other
Enumeration date
01/17/2017
Last updated
02/08/2023
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