JIMMY TAYLOR

FORT SMITH, AR
NPI1376029967
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AR  L25394)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2018-07-17
Last Update Date2018-07-17
Business Address
JIMMY TAYLOR LPN, QBHP
3111 S 70TH ST
FORT SMITH, AR 72903-5017
Phone number: 479-452-6650
Mailing Address
JIMMY TAYLOR LPN, QBHP
PO BOX 11818
FORT SMITH, AR 72917-1818
Phone number: 479-452-6650