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NPI Code Detail

MEDICARE: NATALIE JONES TAYLOR

MEDICARE: NATALIE JONES TAYLOR
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner0024184789VA

General Provider Information

NPI Number : 1205564168
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE JONES TAYLOR
Provider Business Mailing Address
First Line : 2550 PROFESSIONAL RD
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23235-3214
Country : US
Telephone Number : 804-592-6311
Fax Number :
Provider Business Practice Location Address
First Line : 2550 PROFESSIONAL RD
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23235-3214
Country : US
Telephone Number : 804-592-6311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2022
Last Update Date : 08/09/2022

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