Individual
MRS. JENNIFER MARIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1025 MARSH ST., MANKATO, MN 56001
(507) 625-4031
Mailing address
1025 MARSH ST., MANKATO, MN 56001
(507) 625-4031
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12029
MN
363A00000X
Physician Assistant
2421
MN
Other
Enumeration date
02/16/2016
Last updated
10/21/2021
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