Provider Demographics
NPI:1265766794
Name:TAYLOR, JAMES ADRIAN (LPN)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ADRIAN
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:786 EATONIA PL
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-4518
Mailing Address - Country:US
Mailing Address - Phone:614-588-7906
Mailing Address - Fax:
Practice Address - Street 1:786 EATONIA PL
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-4518
Practice Address - Country:US
Practice Address - Phone:614-588-7906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.136308-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse