Provider Demographics
NPI:1992686380
Name:TAYLOR-MINERVINI, JULIE (RN, BSN)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:TAYLOR-MINERVINI
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:TAYLOR-MINERVINI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:510 MANNING RD
Mailing Address - Street 2:
Mailing Address - City:STANTON
Mailing Address - State:KY
Mailing Address - Zip Code:40380-9745
Mailing Address - Country:US
Mailing Address - Phone:954-558-1966
Mailing Address - Fax:
Practice Address - Street 1:2464 FORTUNE DR STE 110
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-4254
Practice Address - Country:US
Practice Address - Phone:954-558-1966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1141609163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management