Individual provider · Type 1 NPI

Taylor Nicole Thompson, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1003220062 Active

Practice location

5501 Old York Rd, Korman Building Suite 202
Philadelphia, PA 19141-3018

Call (215) 254-2630 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPAT0063 (MA)
Medical Physician Assistant Primary 363AM0700XMA057550 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1003220062

Taylor Nicole Thompson, PA-C's National Provider Identifier is 1003220062, issued on Jun 18, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 2, 2015.