Taylor, Jennifer Hope

Taylor, Jennifer Hope is an individual health care provider with primary practice located at 74 Eclipse Ctr , Beloit WI 53511-3550. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Taylor, Jennifer Hope can be contacted via phone (608) 361-0311.

Contact Information

Primary practice address
74 Eclipse Ctr Beloit WI 53511-3550
Phone: (608) 361-0311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209009606 Illinois

Profile Details

NPI number 1710241260
LBN Legal business name Taylor, Jennifer Hope
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2012
Last updated Oct 9th, 2014 - about 12 years 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 1710241260 NPPES
Illinois MEDICAID 364029003-61108-01
Illinois Other 5378720001

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