Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. TAYLOR LYNN DERRICO, PA-C
ActiveMS. TAYLOR LYNN DERRICO, PA-C is a Surgical Physician Assistant healthcare provider located in JACKSON, Mississippi. NPI 1164945218 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · JACKSON, MS
Registration Details
- NPI Number
- 1164945218
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 20, 2017 (9.0594077550167 yrs)
- Last Updated
- Nov 13, 2025
- Licenses
-
PA00457 (MS)PA00457 (MS)
Practice Information
- Address
-
501 MARSHALL ST STE 104JACKSON, MS, 392021663Browse MS providers · Browse ZIP 39202
- Phone
- 6019696404
- Fax
- 6019734541
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| CATHERINE DAVIS | C.S.A. | 1790984185 |
| MRS. THERESA BEARD | RNFA | 1629307970 |
| KATHERINE MARIE LONG | PA | 1134495484 |
| KATHERINE ROGERS | PA-C | 1578946612 |
| HEATHER MORRIS | PA-C | 1104283068 |
| MARY ALLISON DURR | PA-C | 1083073233 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.