Taylor, Amanda Nicole

Taylor, Amanda Nicole is an individual health care provider with primary practice located at 3011 E Barnett Rd , Medford OR 97504. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Taylor, Amanda Nicole can be contacted via phone (541) 789-4673.

Contact Information

Primary practice address
3011 E Barnett Rd Medford OR 97504
Phone: (541) 789-4673
Fax: (541) 789-2121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA201837 Oregon

Profile Details

NPI number 1134784580
LBN Legal business name Taylor, Amanda Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2019
Last updated Jan 17th, 2022 - about 4 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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