Individual
MISS JAYLA LAVELLE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(434) 200-3000
Mailing address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(434) 200-3000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110011272
VA
Other
Enumeration date
04/11/2025
Last updated
10/02/2025
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