Individual
JENNIFER SUSANNE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2076 NC HIGHWAY 42 W STE 230, CLAYTON, NC 27520-5303
(919) 553-5711
(919) 553-5713
Mailing address
4705 UNIVERSITY DR BLDG 700, DURHAM, NC 27707-3489
(919) 237-1337
(919) 237-1625
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
104146
NC
Other
Enumeration date
05/04/2007
Last updated
07/31/2023
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