Provider Demographics
NPI:1417342684
Name:TAYLOR, VERNICE J (DC)
Entity Type:Individual
Prefix:DR
First Name:VERNICE
Middle Name:J
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2709 GOOLSBY AVE # 54
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23234-4435
Mailing Address - Country:US
Mailing Address - Phone:540-560-5991
Mailing Address - Fax:
Practice Address - Street 1:2709 GOOLSBY AVE # 54
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23234-4435
Practice Address - Country:US
Practice Address - Phone:540-560-5991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-03
Last Update Date:2015-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556273111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor