Provider Demographics
NPI:1164449054
Name:TAYLOR, JULIE M (CNM, WHNP-BC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:M
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:CNM, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 776084
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6084
Mailing Address - Country:US
Mailing Address - Phone:314-872-7400
Mailing Address - Fax:314-872-9126
Practice Address - Street 1:621 S NEW BALLAS RD STE 695A
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-8263
Practice Address - Country:US
Practice Address - Phone:314-872-7400
Practice Address - Fax:314-872-9126
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2005036691363LX0001X, 363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology