NPI Code Details Logo

NPI 1548633068

NPI 1548633068 : JENNIFER L TAYLOR APRN, PMHNP : GRANTHAM, NH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1548633068
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JENNIFER L TAYLOR APRN, PMHNP
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/05/2015
-----------------------------------------------------
    Last Update Date     |    03/23/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    151 ROUTE 10 N STE 5 
-----------------------------------------------------
    City                 |    GRANTHAM
-----------------------------------------------------
    State                |    NH
-----------------------------------------------------
    Zip                  |    03753-3621
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    802-392-0679
-----------------------------------------------------
    Fax                  |    802-547-8744
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 412 
-----------------------------------------------------
    City                 |    WILMOT
-----------------------------------------------------
    State                |    NH
-----------------------------------------------------
    Zip                  |    03287-0412
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    802-392-0679
-----------------------------------------------------
    Fax                  |    802-547-8744
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LG0600X
-----------------------------------------------------
    Taxonomy Name        |    Gerontology Nurse Practitioner
-----------------------------------------------------
    License Number       |    101.0136273
-----------------------------------------------------
    License Number State |    VT
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363LG0600X
-----------------------------------------------------
    Taxonomy Name        |    Gerontology Nurse Practitioner
-----------------------------------------------------
    License Number       |    062861-23
-----------------------------------------------------
    License Number State |    NH
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    101.0136273
-----------------------------------------------------
    License Number State |    VT
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    062861-23
-----------------------------------------------------
    License Number State |    NH
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    363LA2200X
-----------------------------------------------------
    Taxonomy Name        |    Adult Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    RN2365225
-----------------------------------------------------
    License Number State |    MA
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    363LA2200X
-----------------------------------------------------
    Taxonomy Name        |    Adult Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    101.0136273
-----------------------------------------------------
    License Number State |    VT
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    363LA2200X
-----------------------------------------------------
    Taxonomy Name        |    Adult Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    062861-23
-----------------------------------------------------
    License Number State |    NH
-----------------------------------------------------
Taxonomy #8
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    RN2365225
-----------------------------------------------------
    License Number State |    MA
-----------------------------------------------------
Taxonomy #9
-----------------------------------------------------
    Taxonomy Code        |    363LG0600X
-----------------------------------------------------
    Taxonomy Name        |    Gerontology Nurse Practitioner
-----------------------------------------------------
    License Number       |    AG0715037-AGPNP
-----------------------------------------------------
    License Number State |    NH
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.