NPI 1003220062

Taylor Nicole Thompson, PAC

Practitioner Medical Physician Assistant Philadelphia, PA

Practice location

Address: 5501 Old York Rd Korman Building Suite 202, Philadelphia, PA 19141-3018
Phone: (215) 254-2630
Mailing address: 5501 Old York Rd, Philadelphia, PA 19141-3018

Registered specialties (2)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence MA057550 (PA)

Other Physician Assistant providers in Pennsylvania →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PAT0063 (MA)

Registry record

NPI: 1003220062
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jun 2014
Record last updated: 2 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.