Jacob Michael Taylor, PA-C Valid NPI

Individual provider · Surgical Physician Assistant · Raleigh, NC

NPI

1720318348

Type

Individual (Type 1)

Primary specialty

Surgical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AS0400X

License number

0010-02147 (NC)

Sex

Male

Sole proprietor

No

Enumerated

2010-01-04

Last updated

2021-04-13