Provider Demographics
NPI:1295973188
Name:TAYLOR, ROSEMA JACKIELYN
Entity type:Individual
Prefix:MRS
First Name:ROSEMA
Middle Name:JACKIELYN
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ROSEMA
Other - Middle Name:JACKIELYN
Other - Last Name:KARL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:2806 PAGE CT
Mailing Address - Street 2:2309 BEL AIR ROAD SUITE 304
Mailing Address - City:FALLSTON
Mailing Address - State:MD
Mailing Address - Zip Code:21047-2228
Mailing Address - Country:US
Mailing Address - Phone:410-877-3091
Mailing Address - Fax:410-877-9251
Practice Address - Street 1:2806 PAGE CT
Practice Address - Street 2:2309 BEL AIR ROAD SUITE 304
Practice Address - City:FALLSTON
Practice Address - State:MD
Practice Address - Zip Code:21047-2228
Practice Address - Country:US
Practice Address - Phone:410-877-3091
Practice Address - Fax:410-877-9251
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-30
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health