Taylor J Landis, PA-C
Physician Assistant, Medical in Jacksonville, North Carolina
1962119503- Practice location
- 114A Memorial Dr, Jacksonville, NC 28546-6328
- Phone
- 910-353-0700
- Fax
- 910-353-5305
- Last updated
- October 8, 2024
Taylor Jane Landis is a Physician Assistant, Medical based in Jacksonville, NC. Taylor Jane Landis practices in Jacksonville, NC and has the professional credentials of PA-C. The NPI Number for Taylor Jane Landis is 1962119503 and holds a License No. 0010-14619 (NC). The current practice location address for Taylor Jane Landis is 114A Memorial Dr, Jacksonville, NC 28546-6328 and can be reached out via phone at 910-353-0700 and via fax at 910-353-5305.
Provider Profile Details
- NPI Number
- 1962119503
- Provider Name
- Taylor Jane Landis
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 114A Memorial Dr, Jacksonville, NC 28546-6328
- Phone Number
- 910-353-0700
- Fax Number
- 910-353-5305
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 2, 2022
- Last Update Date
- October 8, 2024
- Certification Date
- October 8, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 114A Memorial Dr
Jacksonville, NC 28546-6328 - City
- Jacksonville
- State
- North Carolina
- Zip
- 28546-6328
- Phone Number
- 910-353-0700
- Fax Number
- 910-353-5305
Provider Business Mailing Address Details
- Address
- Po Box 986513
Boston, MA 02298-6513 - City
- Boston
- State
- MA
- Zip
- 02298-6513
- Phone Number
- 910-219-8326
License Information
- License Number (1)
- 0010-14619
- License State (1)
- NC
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X
- License Number (2)
- MA064059
- License State (2)
- PA
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Taylor J Landis, PA-C?
The NPI number of Taylor J Landis, PA-C is 1962119503. It was assigned on November 2, 2022 and is currently active in the NPPES registry.
What is the specialty of Taylor J Landis, PA-C?
Taylor J Landis, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NC under license number 0010-14619.
Where does Taylor J Landis, PA-C practice?
The practice location is 114A Memorial Dr, Jacksonville, NC 28546-6328. The office can be reached at 910-353-0700 (phone) or 910-353-5305 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962119503 directly on the NPPES registry website.