Provider Demographics
NPI:1538471883
Name:TAYLOR, JAIME LYN-ESSIAN (DO)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:LYN-ESSIAN
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JAIME
Other - Middle Name:LYN
Other - Last Name:ESSIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:42505 WOODWARD AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304-5147
Mailing Address - Country:US
Mailing Address - Phone:248-771-2800
Mailing Address - Fax:248-856-2939
Practice Address - Street 1:42505 WOODWARD AVE STE 100
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48304-5147
Practice Address - Country:US
Practice Address - Phone:248-771-2800
Practice Address - Fax:248-856-2939
Is Sole Proprietor?:No
Enumeration Date:2010-07-01
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02004262A207Q00000X
MI510018666207Q00000X
MI5101018666207QA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine