Individual
JENNIFER MICHELLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1708 OLD DONATION PKWY, VIRGINIA BEACH, VA 23454-3064
(757) 419-3000
(757) 213-9377
Mailing address
413 PARK MANOR RD, PORTSMOUTH, VA 23701-1125
(757) 927-2222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-005805
VA
Other
Enumeration date
06/28/2017
Last updated
03/17/2018
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