Individual
JESSICA GRAY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2700 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-9494
(919) 731-6060
(919) 587-2988
Mailing address
PO BOX K, GOLDSBORO, NC 27533-9710
(919) 731-6060
(919) 587-2988
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001004695
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1004695
NC MEDICAL BOARD
NC
Enumeration date
01/15/2014
Last updated
03/07/2023
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