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NPI Code Detail

MEDICARE: MS. TAYLOR C JOLLIFF MS, RD

MEDICARE: MS. TAYLOR C JOLLIFF MS, RD
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
1133V00000XRegistered Dietitian2018008577MO

Other Identifiers

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

General Provider Information

NPI Number : 1386140317
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TAYLOR C JOLLIFF MS, RD
Provider Business Mailing Address
First Line : 2885 W BATTLEFIELD ST
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65807-3952
Country : US
Telephone Number : 417-761-5000
Fax Number :
Provider Business Practice Location Address
First Line : 1300 E BRADFORD PKWY BLDG B
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65804-4294
Country : US
Telephone Number : 417-761-5000
Fax Number : 417-761-5011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2018
Last Update Date : 05/04/2026

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