IndividualActive
Brady Taylor, RD, LD
NPI 1972980696 · Registered Dietitian · Jackson, MS
Provider details
- NPI number
- 1972980696
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, LD
- Sex
- Male
- Sole proprietor
- No
- License
- 1028 (MS)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
603 Duling Ave
Jackson, MS 39216-4009
Phone: (601) 984-3126
Fax: (601) 984-3127
Approximate (ZIP-level) locationGet directions
Mailing address
603 Duling Ave
Jackson, MS 39216-4009
Registry dates
- Enumerated
- 2015-05-01
- Last updated
- 2015-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.