Individual
JESSICA LAUREN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
3900 KRESGE WAY STE 54, LOUISVILLE, KY 40207-4683
(502) 896-6696
(502) 896-1795
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4900
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3005454
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103859
NURSING LICENSE
KY
Enumeration date
12/18/2007
Last updated
10/03/2019
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