Individual
ALLISON TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(833) 672-8767
Mailing address
PO BOX 2204, MADISON, MS 39130-2204
(833) 672-8767
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00417
MS
Other
Enumeration date
06/05/2019
Last updated
01/01/2023
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