SearchFlorida376K00000X

Taylor Wallace, CNA

NPI 1174133052 · on the registry since 2020 · sole proprietor

Practice

Address
13525 Bartram Park Blvd Unit 1538
Jacksonville, FL 32258
Phone
(816) 832-6319
Clinicians at this address
3

Registry record

Primary taxonomy
376K00000X
376K00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-08-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida