Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY TAYLOR BLACK I
ActivePhysician Assistant · MOBILE, AL
Registration Details
- NPI Number
- 1457034191
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2023 (2.7303905301325 yrs)
- Last Updated
- Dec 17, 2024
- License
-
PA223011 (OR)
Practice Information
- Address
-
6517 CEDAR BEND CTMOBILE, AL, 366085333Browse AL providers · Browse ZIP 36608
- Phone
- 8018421517
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in MOBILE, AL
| Name | Credential | NPI |
|---|---|---|
| MR. GREGORY A SHARP | PA | 1639179898 |
| MRS. JESSICA S DAVIS | PA-C | 1013994011 |
| DIANE DIXON ABERCROMBIE | PA | 1063488153 |
| CHERI LIVINGSTON | PA-C | 1316997711 |
| TONYA CAULEY WEIDMAN | PA | 1881646784 |
| ASHLEY ESHAM GUY | P.A.-C. | 1619924180 |
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.