Individual
JENNIFER ANNE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 MEDICAL PARK, SUITE 704, WHEELING, WV 26003
(304) 243-3134
(304) 243-3824
Mailing address
1 MEDICAL PARK, SUITE 704, WHEELING, WV 26003
(304) 243-3134
(304) 243-3824
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00398
WV
363A00000X
Physician Assistant
50000749
OH
363AS0400X
Surgical Physician Assistant
00398
WV
363AS0400X
Surgical Physician Assistant
50000749
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119655
—
OH
Enumeration date
01/16/2007
Last updated
06/03/2020
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