DR. JENNIFER EILEEN TAYLOR IV (NPI# 1396015111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396015111 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER EILEEN TAYLOR IV |
| Credential | PHARMD |
| Practice Address |
3445 Terry Rd Jackson MS 39212-4956 |
| Practice Telephone | 6013728750 |
| Practice Fax Number | 6013723833 |
| Mailing Telephone | 6013728750 |
| Mailing Fax Number | 6013723833 |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-01-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | E-09099 | MS | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717347 | Jennifer Ann Taylor | Registered Nurse | 29436 Ms Highway 32, Charleston, MS 38921-6602 | 2020-07-10 |
| 1851918494 | Jennifer Nicole Taylor | Nurse Practitioner | 435 Meatshop Road, Spanishburg, WV 25922 | 2020-06-30 |
| 1780224154 | Jennifer Marie Taylor | Occupational Therapist | 4303 Trueman Blvd, Hilliard, OH 43026-2631 | 2020-01-13 |
| 1619510450 | Jennifer Taylor | Counselor | 2701s Iris Ave Ste 5, Boulder, CO 80304-2433 | 2019-10-24 |
| 1558853911 | Jennifer Taylor | Counselor | 48 Carol Pl, Staten Island, NY 10303-2124 | 2018-06-01 |
| 1437648367 | Jennifer Taylor | Speech-Language Pathologist | 163 Highland Hill Rd, Big Rock, TN 37023-3095 | 2018-05-07 |
| 1033626445 | Jennifer E Taylor | Specialist/Technologist | 49 Morgan Cove Rd, Candler, NC 28715-8354 | 2018-01-08 |
| 1962878686 | Jennifer E Taylor | Counselor | 441 Alamo Dr, Vacaville, CA 95688-4204 | 2015-08-17 |
| 1295110583 | Jennifer Taylor | Physical Therapist | 3218 Legacy Dr, Mims, FL 32754-3022 | 2015-07-28 |
| 1639554074 | Jennifer Taylor | Occupational Therapist | 3566 Cornwell Dr, Morganton, NC 28655-0098 | 2015-07-28 |
| Street Address |
3445 TERRY RD |
| City | JACKSON |
| State | MS |
| Zip Code | 39212-4956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730184607 | Amber Dione Wilbanks | Pharmacist | 3445 Terry Rd, Jackson, MS 39212-4956 | 2005-06-16 |
| 1972871895 | Tiawana Ware Alexander | Pharmacist | 3445 Terry Rd, Jackson, MS 39212-4956 | 2011-12-06 |
| 1902174022 | Mark Dewitt Allen | Pharmacist | 3445 Terry Rd, Jackson, MS 39212-4956 | 2011-12-03 |
| 1104831361 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3445 Terry Rd, Jackson, MS 39212-4956 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013406172 | South Central Community Action Agency, Inc | Non-emergency Medical Transport (VAN) | 3891 I-55 South Frontage Rd, Jackson, MS 39212 | 2018-05-04 |
| 1508305780 | Caring Companions LLC | Home Health | 1024 Cooper Rd, Jackson, MS 39212 | 2017-02-21 |
| 1750634044 | Christians In Action, Inc. | Community/Behavioral Health | 2025 North Siwell Rd, Jackson, MS 39212 | 2012-10-24 |
| 1609164748 | Counseling and Mentoring Program | Community/Behavioral Health | 2964 Terry Road B-1, Jackson, MS 39212 | 2011-07-11 |
| 1407179039 | Caring Hands Community Services Inc | Skilled Nursing Facility | 3318 Longwood Drive, Jackson, MS 39212 | 2010-03-10 |
| 1992239404 | Shaemik Harris | Registered Nurse | 3520 Sykes Park Dr, Jackson, MS 39212 | 2017-04-12 |
| 1780044438 | Alfonzo Haralson | Counselor | 132 Thousand Oaks Cir, Jackson, MS 39212-2046 | 2016-02-24 |
| 1659384063 | Kentrell Marie Liddell | Family Medicine | 2104 Thousand Oaks Dr, Jackson, MS 39212-2048 | 2006-08-15 |
| 1649819590 | George Cavett Jr. | Nurse Practitioner | 2450 Twisted Oak Dr, Jackson, MS 39212-2137 | 2019-12-24 |
| 1912455361 | Victorious Healthcare L.L.C. | Assisted Living Facility | 4959 Laurel Oak Dr, Jackson, MS 39212-2150 | 2016-09-14 |
| Find all providers in zip 39212 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890662 | Angela Shawn Bradley | Pharmacist | 1589 Ky Hwy 15 South, Jackson, KY 41339 | 2020-10-30 |
| 1871191734 | Ranita Greer | Pharmacist | 59 Ky-15 N, Jackson, KY 41339 | 2020-10-13 |
| 1790398287 | Haleema Saadia | Pharmacist | 3144 North Avenue, Jackson, TN 38305-0100 | 2020-08-25 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1124645965 | Archis B Patel | Pharmacist | 6 Moet Ct, Jackson, NJ 08527-3090 | 2020-06-27 |
| 1417579798 | Alvin Ray Stewart Sr. | Pharmacist | 696 Cedar Springs Dr, Jackson, MS 39212-5710 | 2020-05-10 |
| 1033731492 | Jamie Hines Mckinley | Pharmacist | 1500 E Woodrow Wilson Ave Dept 119-a, Jackson, MS 39216-5116 | 2020-05-08 |
| 1356980643 | Bethany Powers | Pharmacist | 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 | 2020-01-03 |
| 1770130650 | Elizabeth Hearn | Pharmacist | 1345 Simwood Pl, Jackson, MS 39211-6352 | 2019-08-24 |
| 1306493929 | Stephen Benjamin Porter | Pharmacist | 350 W Woodrow Wilson Ave Rm Me101-42, Jackson, MS 39213-7681 | 2019-08-19 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.