Healthcare Provider Details

I. General information

NPI: 1265359061
Provider Name (Legal Business Name): TAYLOR JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6801 JEFFERSON ST NE STE 301
ALBUQUERQUE NM
87109-7390
US

IV. Provider business mailing address

204 MADISON ST NE APT C
ALBUQUERQUE NM
87108-1384
US

V. Phone/Fax

Practice location:
  • Phone: 505-705-1701
  • Fax: 505-212-1253
Mailing address:
  • Phone: 512-781-1529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: