TAYLOR BUCHANAN JACKSON

SAN DIEGO, CA
NPI1205292455
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NC  5017962)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: MD  R190900)
363LF0000X Nurse Practitioner, Family
(Licence: CA  95003121)
Enumeration Date2016-01-04
Last Update Date2024-07-24
Business Address
TAYLOR BUCHANAN JACKSON FNP
4510 EXECUTIVE DR STE 215
SAN DIEGO, CA 92121-3023
Phone number: 858-657-6624
Mailing Address
TAYLOR BUCHANAN JACKSON FNP
911 SAXON HILL DR
COCKEYSVILLE, MD 21030-2905
Phone number: 410-419-1438