Individual
JONATHON CHARLES TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 459-6000
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4693
SC
363A00000X
Physician Assistant
67567
CA
363AM0700X
Medical Physician Assistant
Primary
67567
CA
Other
Enumeration date
11/29/2022
Last updated
02/13/2026
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