Individual
DEAVAN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
206 W MAIN ST, LEXINGTON, KY 40507-1354
(859) 710-6829
Mailing address
206 W MAIN ST, LEXINGTON, KY 40507-1354
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11003474
FL
363LF0000X
Family Nurse Practitioner
Primary
4035710
KY
363LF0000X
Family Nurse Practitioner
APRN11003474
FL
Other
Enumeration date
08/24/2019
Last updated
04/03/2026
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