Derrico, Taylor Lynn

Derrico, Taylor Lynn is an individual health care provider with primary practice located at 501 Marshall St Ste 104 , Jackson MS 39202-1663. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Derrico, Taylor Lynn can be contacted via phone (601) 969-6404.

Contact Information

Primary practice address
501 Marshall St Ste 104 Jackson MS 39202-1663
Phone: (601) 969-6404
Fax: (601) 973-4541
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00457 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA00457 Mississippi

Profile Details

NPI number 1164945218
LBN Legal business name Derrico, Taylor Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2017
Last updated Nov 13th, 2025 - about last year

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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