Provider Demographics
NPI:1841835030
Name:TAYLOR, JANNICE MARIE (ARNP, FNP-C)
Entity type:Individual
Prefix:
First Name:JANNICE
Middle Name:MARIE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:ARNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 W WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:OSCEOLA
Mailing Address - State:IA
Mailing Address - Zip Code:50213-1248
Mailing Address - Country:US
Mailing Address - Phone:641-223-8365
Mailing Address - Fax:641-223-8364
Practice Address - Street 1:127 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:OSCEOLA
Practice Address - State:IA
Practice Address - Zip Code:50213-1248
Practice Address - Country:US
Practice Address - Phone:641-223-8365
Practice Address - Fax:641-223-8364
Is Sole Proprietor?:No
Enumeration Date:2019-11-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA156725363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily