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NPI 1497443097

NPI 1497443097 : TAYLOR'S HEALTH AND WELLNESS : JACKSONVILLE, FL

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General NPI Number Information
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    NPI Number           |    1497443097
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    Entity Type          |    Organization 
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    Legal Business Name  |    TAYLOR'S HEALTH AND WELLNESS 
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Dates
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    Enumeration Date     |    05/01/2023
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    Last Update Date     |    05/01/2023
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Provider Practice Location Address
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    Address Line         |    2667 SANDRA LN 
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    City                 |    JACKSONVILLE
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    State                |    FL
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    Zip                  |    32208-2570
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    Country              |    US
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    Telephone            |    190-444-6646
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2667 SANDRA LN 
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    City                 |    JACKSONVILLE
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    State                |    FL
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    Zip                  |    32208-2570
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    Country              |    US
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    Telephone            |    190-444-6646
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    Fax                  |    
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Authorized Official
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    Title or Position    |    FOUNDER
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    Name                 |     SHAWNNA  WALKER 
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    Credential           |    APRN, DNP
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    Telephone            |    904-446-6460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    
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    License Number State |    
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