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NPI Code Detail

MEDICARE: JORDAN TAYLOR MUNK

MEDICARE: JORDAN TAYLOR MUNK
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
1106S00000XBehavior TechnicianBACB1291010NV

General Provider Information

NPI Number : 1528955689
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN TAYLOR MUNK
Provider Business Mailing Address
First Line : 511 TRENIER DR
Second Line :
City : HENDERSON
State : NV
Zip : 89002-9730
Country : US
Telephone Number : 702-239-7444
Fax Number :
Provider Business Practice Location Address
First Line : 9041 S PECOS RD STE 3900
Second Line :
City : HENDERSON
State : NV
Zip : 89074-6601
Country : US
Telephone Number : 702-239-7444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2025
Last Update Date : 06/21/2025

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Directions to “ JORDAN TAYLOR MUNK ” Practice Location

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