MEDICARE: JASON TAYLOR ARNP

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
1	363LF0000X	Family Nurse Practitioner	ARNP9262142	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174001515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON TAYLOR ARNP

Provider Business Mailing Address
First Line	:	33 WILLOW RD
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34472-8670
Country	:	US
Telephone Number	:	352-875-8846
Fax Number	:

Provider Business Practice Location Address
First Line	:	6160 SW STATE ROAD 200 # 119
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34476-8307
Country	:	US
Telephone Number	:	352-233-4178
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2018
Last Update Date	:	07/28/2018

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