Provider Demographics
NPI:1871790261
Name:TAYLOR-WOODBURY, JEAN N (NP)
Entity type:Individual
Prefix:MR
First Name:JEAN
Middle Name:N
Last Name:TAYLOR-WOODBURY
Suffix:
Gender:M
Credentials:NP
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Mailing Address - Street 1:650 5TH ST STE 309
Mailing Address - Street 2:JAIL HLTH SVCS
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-1542
Mailing Address - Country:US
Mailing Address - Phone:650-266-7566
Mailing Address - Fax:650-266-7572
Practice Address - Street 1:650 5TH ST STE 309
Practice Address - Street 2:JAIL HLTH SVCS
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-1542
Practice Address - Country:US
Practice Address - Phone:650-266-7566
Practice Address - Fax:650-266-7572
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CANPF10113363LA2200X
CARN497724163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Not Answered163W00000XNursing Service ProvidersRegistered Nurse