NPI 1063047652

Taylor Ross O'Connor

Practitioner Social Worker Jackson, TN

Practice location

Address: 37 Sandstone Cir, Jackson, TN 38305-2089
Phone: (731) 265-6025
Mailing address: 107 Pepper Tree Rd, Jackson, TN 38305-8865

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 12178 (TN)

Other Social Worker providers in Tennessee →

Registry record

NPI: 1063047652
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Mar 2020
Record last updated: 4 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.