Taylor, Jared Kerome

Taylor, Jared Kerome is an individual health care provider with primary practice located at 969 Lakeland Dr , Jackson MS 39216-4606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Taylor, Jared Kerome can be contacted via phone (601) 200-5790.

Contact Information

Primary practice address
969 Lakeland Dr Jackson MS 39216-4606
Phone: (601) 200-5790
Fax: (601) 200-0373
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 23662 Mississippi
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X T-2608 Mississippi

Profile Details

NPI number 1154686541
LBN Legal business name Taylor, Jared Kerome
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2012
Last updated Jun 22nd, 2026 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154686541 NPPES
Mississippi MEDICAID 01600357
Mississippi Other 1M9131

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