Taylor, Jessie R
Taylor, Jessie R is an individual health care provider with primary practice located at 1423 Palmetto Road , Verona MS 38879. She recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as her primary health care specialty. Taylor, Jessie R can be contacted via phone (662) 566-5593.Contact Information
Primary practice address
1423 Palmetto Road
Verona MS 38879
Phone: (662) 566-5593
Fax: (662) 566-4419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | 06260 | Mississippi |
Profile Details
| NPI number | 1770596918 |
|---|---|
| LBN Legal business name | Taylor, Jessie R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Dec 16th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770596918 | NPPES |
| Mississippi | MEDICAID | 00853789 |
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