| NPI | 1710256631 |
|---|---|
| Former Name | JESSICA R KUYKENDALL-TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000895) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 209009286) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: IL 209009286) | |
| 261QM1300X Clinic/Center, Multi-Specialty (Licence: IL 277000895) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209009286) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 277000895) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209009286) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 277000895) | |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2021-02-04 |