| Doctor Name: | JENNIFER L TAYLOR |
| NPI Number: | 1104860642 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | A.P.R.N. |
| License Number: | 002986 |
| Business Practice Address: | 23 Liberty Dr Suite A Hebron, CT - 062481553 |
| Business Phone Number: | 8602281119 |
| Business Fax Number: | 8602284314 |
| Mailing Address: | 23 Liberty Dr, Suite A HEBRON |
| State: | CT |
| Postal Code: | 062481553 |
| Phone Number: | 8602281119 |
| Fax Number: | 8602284314 |
| NPI Enumeration Date: | 06/15/2006 |
| NPI Last Update Date: | 01/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 002986 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |