Individual
TAYLOR JACQUELYN TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6000
Mailing address
1028 HALL AVE, SAINT PAUL, MN 55118-1422
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0789
ND
Other
Enumeration date
07/29/2019
Last updated
07/03/2025
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