| Jaclyn Taylor, ARNP | |
|
870 N Miramar Ave # 427, Indialantic, FL 32903-3054 | |
| (321) 344-0566 | |
| (321) 344-8997 |
| Full Name | Jaclyn Taylor |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 870 N Miramar Ave # 427, Indialantic, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760991574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | ARNP9171735 (Florida) | Primary |
| Entity Name | Dover Shores Family Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417683707 PECOS PAC ID: 7517336431 Enrollment ID: O20221214003092 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn Taylor, ARNP 870 N Miramar Ave # 427, Indialantic, FL 32903-3054 Ph: (321) 344-0566 | Jaclyn Taylor, ARNP 870 N Miramar Ave # 427, Indialantic, FL 32903-3054 Ph: (321) 344-0566 |
Zeda Perez Tully, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 140 6th Ave, Indialantic, FL 32903 Phone: 321-312-3501 | |
Stacy E Foley, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1220 N Highway A1a Ste 147, Indialantic, FL 32903 Phone: 321-253-7547 Fax: 321-951-9127 | |
Chad Larsen Randol, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 351 Coconut Dr, Indialantic, FL 32903 Phone: 859-428-6492 | |
Thailisse Fernandez, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1220 N Highway A1a Ste 147, Indialantic, FL 32903 Phone: 321-984-1333 | |
Teena Yvonne Sanders, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 5th Ave Ste C, Indialantic, FL 32903 Phone: 321-821-4882 | |
Jessica S Magnaldi, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140 6th Ave, Indialantic, FL 32903 Phone: 321-312-3501 Fax: 321-723-9176 | |
Ms. Arilma Milagros Wong Arjona, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Coconut Dr Ste 101, Indialantic, FL 32903 Phone: 321-516-5670 Fax: 877-682-1845 |