Individual
MS. TAYLOR LYNN DERRICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
501 MARSHALL ST STE 104, JACKSON, MS 39202-1663
(601) 969-6404
(601) 973-4541
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA00457
MS
363AS0400X
Surgical Physician Assistant
Primary
PA00457
MS
Other
Enumeration date
07/20/2017
Last updated
11/13/2025
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