Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Lee Taylor, PA-C, AT

Individual provider Athletic Trainer · NPI 1871641621

Jennifer Lee Taylor, PA-C, AT is a Physician Assistant in Troy, Michigan. Qualified in 2018, 8 years ago. Practices with Beaumont Medical Group Hospital Based Services, a 572-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

44201 Dequindre Rd Ste EC
Troy, MI 48085-1117
Phone: (248) 964-5111
Fax: (248) 964-5068
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 17161 Nadora St, Southfield, MI 48076 — (989) 302-0056
  • 17161 Nadora St, Southfield, MI 48076 — (989) 302-0056
  • 4060 Rochester Rd, Troy, MI 48085 — (248) 250-6420

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (MI)
Athletic Trainer Taxonomy 2255A2300X (MI)

Record details

NPI number1871641621
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , AT
Sole proprietorYes
NPI enumeratedJanuary 8, 2007
Last updated in NPPESJune 13, 2022
Certification dateJune 13, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Beaumont Medical Group Hospital Based Services — 572 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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