Individual
TAYLOR JANE LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
114A MEMORIAL DR, JACKSONVILLE, NC 28546-6328
(910) 353-0700
(910) 353-5305
Mailing address
PO BOX 986513, BOSTON, MA 02298-6513
(910) 219-8326
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0010-14619
NC
363AM0700X
Medical Physician Assistant
Primary
MA064059
PA
Other
Enumeration date
11/02/2022
Last updated
10/08/2024
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