Healthcare Provider Details

I. General information

NPI: 1225788441
Provider Name (Legal Business Name): EMILY JANE TAYLOR MS, RDN, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EMILY JANE MCARTHUR MS, RDN, LD

II. Dates (important events)

Enumeration Date: 03/29/2022
Last Update Date: 03/29/2022
Certification Date: 02/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33160 VOTAW BLVD
LISBON OH
44432-8402
US

IV. Provider business mailing address

33160 VOTAW BLVD
LISBON OH
44432-8402
US

V. Phone/Fax

Practice location:
  • Phone: 312-270-0474
  • Fax:
Mailing address:
  • Phone: 330-692-0154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: