Taylor, Jennifer

Taylor, Jennifer is an individual health care provider with primary practice located at 130 Division St , Derby CT 06418-1326. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Taylor, Jennifer can be contacted via phone (203) 732-1257.

Contact Information

Primary practice address
130 Division St Derby CT 06418-1326
Phone: (203) 732-1257
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 304193 Louisiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 54461 Connecticut

Profile Details

NPI number 1700148962
LBN Legal business name Taylor, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2012
Last updated Apr 29th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700148962 NPPES
Mississippi MEDICAID 02673751
Mississippi MEDICAID 2435264

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