Individual
ASHLEY NICOLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1205 HEALTH CENTER PKWY STE 100, YUKON, OK 73099-6396
(405) 717-5400
(405) 717-5467
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 717-5400
(405) 717-5467
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1900
OK
363AM0700X
Medical Physician Assistant
1900
OK
Other
Enumeration date
04/05/2010
Last updated
07/20/2017
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