Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 0101039530 | VA |
Y | 207VE0102X | Reproductive Endocrinologist | 0101039530 | VA |
NPI | 1184878209 |
---|---|
Provider Name | Jill Taylor Flood |
First Address | Virginia Beach, VA 23451-6185 |
Second Address | Virginia Beach, VA 23451-6185 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2008 |
Last Update Date | 12/01/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006259979 | (05) | VA |
C47229 | (02) | VA |