MEDICARE: JESSICA LYNN TAYLOR CPRC-A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	CAPRC1-6343	IN

General Provider Information

NPI Number	:	1003762915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA LYNN TAYLOR CPRC-A

Provider Business Mailing Address
First Line	:	4010 W 86TH ST STE D
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-1779
Country	:	US
Telephone Number	:	317-647-0102
Fax Number	:

Provider Business Practice Location Address
First Line	:	4010 W 86TH ST STE D
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-1779
Country	:	US
Telephone Number	:	317-647-0102
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

Similar Medicare Providers

1689805061 — DR. FREDERICKA ALONA WILSON DPM, MPH
Practice Location Address:

4010 W 86TH ST STE A
INDIANAPOLIS, IN
46268-1779

Practice Phone: 317-872-3338
Practice Fax: 317-872-3339

1174106488 — NICOLE R VALENCIA LPN
Practice Location Address:

4010 W 86TH ST STE D
INDIANAPOLIS, IN
46268-1779

Practice Phone: 317-647-0102
Practice Fax: 317-868-7447

1447930490 — SAPANA UPADHYAY
Practice Location Address:

4010 W 86TH ST STE D
INDIANAPOLIS, IN
46268-1779

Practice Phone: 317-647-0102
Practice Fax: 317-868-7447

1548036262 — VALLE VISTA LLC
Practice Location Address:

4010 W 86TH ST STE D
INDIANAPOLIS, IN
46268-1779

Practice Phone: 317-647-0102
Practice Fax:

1659269538 — BRITTONY BURNHAM LSW, MSW
Practice Location Address:

4010 W 86TH ST STE D
INDIANAPOLIS, IN
46268-1779

Practice Phone: 317-647-0102
Practice Fax: 317-868-7447

1578964169 — KATHERINE ANN BACK NP
Practice Location Address:

2902 W 86TH ST STE 220
INDIANAPOLIS, IN
46268-2196

Practice Phone: 317-343-8607
Practice Fax: 877-473-0054

Directions to “ JESSICA LYNN TAYLOR CPRC-A” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.