Taylor, Jessica

Taylor, Jessica is an individual health care provider with primary practice located at 200 Medical Village Dr , Edgewood KY 41017. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Taylor, Jessica can be contacted via phone (859) 301-5901.

Contact Information

Primary practice address
200 Medical Village Dr Edgewood KY 41017
Phone: (859) 301-5901
Fax: (859) 301-5940
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3690 Kentucky
Behavioral Health & Social Service Providers / Social Worker 104100000X 3690 Kentucky

Profile Details

NPI number 1346379351
LBN Legal business name Taylor, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Aug 30th, 2018 - about 6 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 1346379351 NPPES
Ohio MEDICAID 0155008
Ohio MEDICAID 7100387380

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