Individual
FELIX TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4541 N STATE ST, JACKSON, MS 39206-5308
(601) 533-7017
(769) 333-9151
Mailing address
PO BOX 746085, ATLANTA, GA 30374-6085
(469) 727-6675
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
902294
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05053844
—
MS
Enumeration date
12/08/2017
Last updated
11/18/2024
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