Individual provider · Type 1 NPI

Jacob Michael Taylor, PA-C

Surgical Physician Assistant · Raleigh, NC

NPI number 1720318348 Active

Practice location

3000 New Bern Ave
Raleigh, NC 27610-1231

Call (813) 343-5500 Map

Fax (813) 343-5506

Mailing address

2920 Highwoods Blvd
Raleigh, NC 27604-0010

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X0010 02147 (NC)
Surgical Physician Assistant Primary 363AS0400X0010-02147 (NC)

Surgical Physician Assistant: Definition to come...

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About NPI 1720318348

Jacob Michael Taylor, PA-C's National Provider Identifier is 1720318348, issued on Jan 4, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Raleigh, NC. The record was last updated on Apr 13, 2021.