Most Relevant Information
Provider Data
| NPI Number: | 1003078916 |
| Provider Name: | JENNY FAYE TAYLOR LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | PR26180 |
Most Important Dates
| Enumeration Date: | 07/01/2008 |
| Last Updated: | 07/01/2008 |
Provider Practice Location
20 POWDERHORN RD
SIMPSONVILLE
SC
296813399
Practice Location Phone/Fax
| Phone: | 8649633421 |
| Fax: | 8649620758 |
Provider Mailing Location
20 POWDERHORN RD
SIMPSONVILLE
SC
296813399
Provider Mailing Phone/Fax
| Phone: | 8649633421 |
| Fax: | 8649620758 |