Taylor, Jennifer Anne

Taylor, Jennifer Anne is an individual health care provider with primary practice located at 1 Medical Park Suite 704, Wheeling WV 26003. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Taylor, Jennifer Anne can be contacted via phone (304) 243-3134.

Contact Information

Primary practice address
1 Medical Park Suite 704 Wheeling WV 26003
Phone: (304) 243-3134
Fax: (304) 243-3824
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 50000749 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 00398 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50000749 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 00398 West Virginia

Profile Details

NPI number 1396896080
LBN Legal business name Taylor, Jennifer Anne
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jun 3rd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396896080 NPPES
Ohio MEDICAID 0119655

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