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Search › Mississippi › 363AS0400X

Taylor Derrico, PA-C

NPI 1164945218 · on the registry since 2017

Practice

Address
501 Marshall St Ste 104
Jackson, MS 39202
Phone
(601) 969-6404
Fax
(601) 973-4541
Organisation at this address
Vinod K Anand
Baptist Heart
Southeast Urogyn Llc
Innovative Health Llc
Urogyn Diagnostics Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
96

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Also registered as
363A00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi