Individual provider · Type 1 NPI

Heather Raye Taylor

Physician Assistant · Fort Gibson, OK

NPI number 1649149998 Active

Practice location

108 Lone Oak Cir
Fort Gibson, OK 74434-5001

Fax (918) 478-6020

Mailing address

802 Cromwell Pl
Muskogee, OK 74403-2130

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5793 (OK)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

5 other providers at this address

About NPI 1649149998

Heather Raye Taylor's National Provider Identifier is 1649149998, issued on Nov 4, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Gibson, OK. The record was last updated on Mar 13, 2026.