Doctor Name: | MRS. JADA FIELDS TAYLOR |
NPI Number: | 1124379318 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 5005799 |
Business Practice Address: | 3511 John Platt Dr Morehead City, NC - 285574321 |
Business Phone Number: | 2522474297 |
Business Fax Number: | 2522477383 |
Mailing Address: | 3511 John Platt Dr, MOREHEAD CITY |
State: | NC |
Postal Code: | 285574321 |
Phone Number: | 2522474297 |
Fax Number: | 2522477383 |
NPI Enumeration Date: | 09/27/2012 |
NPI Last Update Date: | 07/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 5005799 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |