Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Taylor Nicole Thompson, PA-C

Individual provider Medical Physician Assistant · NPI 1003220062

Taylor Nicole Thompson, PA-C is a Medical Physician Assistant in Philadelphia, Pennsylvania. Licensed in Massachusetts and Pennsylvania. Registered with an NPI since 2014.

Licensed in
MA, PA
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5501 Old York Rd Korman Bldg Ste 202
Philadelphia, PA 19141-3018
Phone: (215) 254-2630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA057550 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PAT0063 (MA)

Record details

NPI number1003220062
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 18, 2014
Last updated in NPPESJuly 2, 2015

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