Jacqueline Fairley Taylor, RN

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

441 Shadowood Dr
Ridgeland, MS 39157-4131

Phone

(318) 332-6381

NPI assigned

Mar 14, 2025

Last updated

Mar 19, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1437959889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 SHADOWOOD DR",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574131",
            "telephone_number": "318-332-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 SHADOWOOD DR",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574131",
            "telephone_number": "318-332-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRLEY TAYLOR",
        "first_name": "JACQUELINE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "906139",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health & Wellness Coach in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Health & Wellness Coach in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.