Jennifer Ann Taylor, RN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

862307 Issued in MS

Practice address

29436 Ms Highway 32
Charleston, MS 38921-6602

Phone

(662) 515-7798

Fax

(662) 625-3024

NPI assigned

Jul 10, 2020

Last updated

Jul 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1831717347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29436 MS HIGHWAY 32",
            "city": "CHARLESTON",
            "state": "MS",
            "postal_code": "389216602",
            "telephone_number": "662-515-7798",
            "fax_number": "662-625-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29436 MS HIGHWAY 32",
            "city": "CHARLESTON",
            "state": "MS",
            "postal_code": "389216602",
            "telephone_number": "662-515-7798",
            "fax_number": "662-625-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "MS",
            "license": "862307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• The Pharmacy of Charleston
• Cassala Ward, MSN, RN, FNP-C
• Wiggins Family Dental, PLLC (Market Street Family Dental)
• Kyle Wiggins, D.M.D.

• Diabetes Educator Registered Nurse in Charleston, MS
• Providers in Charleston, MS by specialty
• Diabetes Educator Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.