Provider Demographics
NPI:1902085715
Name:TAYLOR, RACHEL JUMPER (PA-C)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:JUMPER
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1256 W EXCHANGE PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-7049
Mailing Address - Country:US
Mailing Address - Phone:972-649-5480
Mailing Address - Fax:469-854-6664
Practice Address - Street 1:1256 W EXCHANGE PKWY STE 200
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-7049
Practice Address - Country:US
Practice Address - Phone:972-649-5480
Practice Address - Fax:469-854-6664
Is Sole Proprietor?:No
Enumeration Date:2007-10-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1669363A00000X
TXPA08589363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant