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NPI Code Detail

MEDICARE: JESSICA LEA TAYLOR

MEDICARE:   JESSICA LEA 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
1374U00000XHome Health AideWA

General Provider Information

NPI Number : 1609731710
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA LEA TAYLOR
Provider Business Mailing Address
First Line : 150 17TH AVE
Second Line :
City : LONGVIEW
State : WA
Zip : 98632-1106
Country : US
Telephone Number : 971-757-0112
Fax Number :
Provider Business Practice Location Address
First Line : 150 17TH AVE
Second Line :
City : LONGVIEW
State : WA
Zip : 98632-1106
Country : US
Telephone Number : 971-757-0112
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2025
Last Update Date : 12/20/2025

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Directions to “ JESSICA LEA TAYLOR ” Practice Location

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