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Contact Information

JERIS TAYLOR
4144 HERITAGE WAY DR
FORT WORTH, TX76137
 Phone: 646-267-3325
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for JERIS TAYLOR · (Female)

NPI Number 1104327683
Status Active
Credentials
Entity Individual
Enumeration date 02/21/2018
Last updated 02/21/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 752582
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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