Doctor Name: | JESSICA S TAYLOR |
NPI Number: | 1265584445 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | CNP81776 |
Business Practice Address: | 193 Main St Suite 2 Norway, ME - 042685645 |
Business Phone Number: | 2077439292 |
Business Fax Number: | 2077436672 |
Mailing Address: | 301c Us Route 1, SCARBOROUGH |
State: | ME |
Postal Code: | 040749701 |
Phone Number: | 2073968600 |
Fax Number: | 2073968632 |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 12/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | CNP81776 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |