Individual
MS. JENNIFER A TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 HIGHLAND AVE, LEWISTOWN, PA 17044-1167
(717) 242-7180
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA002896L
PA
363AM0700X
Medical Physician Assistant
MA002896L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103266761
—
PA
Enumeration date
05/06/2009
Last updated
02/22/2021
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