Provider Demographics
NPI:1447732847
Name:TAYLOR, YENNIFFER MARIA (CM)
Entity type:Individual
Prefix:
First Name:YENNIFFER
Middle Name:MARIA
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:CM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 RIVER RD APT A11
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07928-1200
Mailing Address - Country:US
Mailing Address - Phone:917-943-1033
Mailing Address - Fax:
Practice Address - Street 1:57 US HIGHWAY 46 STE 300
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-2695
Practice Address - Country:US
Practice Address - Phone:908-509-1801
Practice Address - Fax:732-301-9252
Is Sole Proprietor?:No
Enumeration Date:2018-08-31
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF0001888-01367A00000X
NJ25MM00003400367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife