National Provider Identifier
Jessica Shane Taylor
Jessica Shane Taylor is listed in the NPPES registry with a primary specialty of Specialist in Rochester, NY and a listed phone number of (585) 427-7610.
Profile Overview
- NPI
- 1265795173
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- June 18, 2012
- Last Updated
- June 18, 2012
Practice Location
- 3255 Brighton Henrietta Town Line RD
- Suite 102
- Rochester, NY 14623-2806
Phone: (585) 427-7610
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1265795173
- Entity Type
- Individual
- Last Name
- Taylor
- First Name
- Jessica
- Middle Name
- Shane
- Name Prefix
- Mrs.
- Mailing Street Address
- 3255 Brighton Henrietta Town Line RD
- Mailing Address Line 2
- Suite 102
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-2806
- Mailing Country
- US
- Mailing Phone
- (585) 427-7610
- Practice Street Address
- 3255 Brighton Henrietta Town Line RD
- Practice Address Line 2
- Suite 102
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-2806
- Practice Country
- US
- Practice Phone
- (585) 427-7610
- Enumeration Date
- June 18, 2012
- Last Updated
- June 18, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)