Taylor, Johnathan Matthew

Taylor, Johnathan Matthew is an individual health care provider with primary practice located at 576 Jefferson Ave , Fort Eustis VA 23604-1373. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Taylor, Johnathan Matthew can be contacted via phone (757) 314-7654.

Contact Information

Primary practice address
576 Jefferson Ave Fort Eustis VA 23604-1373
Phone: (757) 314-7654
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024176672 Virginia

Profile Details

NPI number 1336617349
LBN Legal business name Taylor, Johnathan Matthew
Credentials DNP, APRN, NP-C, CEN
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2018
Last updated Aug 2nd, 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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