Individual
JAMIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
02/23/2026
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