| Doctor Name: | JIMMIE L TAYLOR |
| NPI Number: | 1003104563 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN0000171351 |
| Business Practice Address: | 167 North Main Street Tuba City, AZ - 860450600 |
| Business Phone Number: | 9282832501 |
| Business Fax Number: | 9282832677 |
| Mailing Address: | Po Box 600, TUBA CITY |
| State: | AZ |
| Postal Code: | 860450600 |
| Phone Number: | 9282832501 |
| Fax Number: | 9282832677 |
| NPI Enumeration Date: | 07/19/2011 |
| NPI Last Update Date: | 07/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP2201X |
| License Number: | RN0000171351 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Ambulatory Care |
| Taxonomy Definition: | |