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

Jessica Taylor, PA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477118404

Jessica Taylor, PA is a Physician Assistant in Lansing, Michigan. Qualified in 2025, 1 year ago. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Years since qualifying
1
Licensed in
MI
In the registry since
2019
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3955 Patient Care Dr Ste A
Lansing, MI 48911-4271
Phone: (517) 374-7600
Fax: (885) 480-9150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3475 Plymouth Rd, Ann Arbor, MI 48105-2550 — (517) 332-1616

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601013782 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MI)
Technician Taxonomy 374700000X

Record details

NPI number1477118404
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedMay 6, 2019
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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