Provider Demographics
NPI:1386883221
Name:TAYLOR, JENNIFER P (AUD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:P
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38105-5042
Mailing Address - Country:US
Mailing Address - Phone:901-678-5800
Mailing Address - Fax:901-525-1282
Practice Address - Street 1:807 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38105-5042
Practice Address - Country:US
Practice Address - Phone:901-678-5800
Practice Address - Fax:901-525-1282
Is Sole Proprietor?:No
Enumeration Date:2009-02-17
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNA0000001283231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist