Provider Demographics
NPI:1235024399
Name:TAYLOR, VERNELLE
Entity type:Individual
Prefix:
First Name:VERNELLE
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5129 NANNIE HELEN BURROUGHS AVE NE APT 416
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-5586
Mailing Address - Country:US
Mailing Address - Phone:202-491-1515
Mailing Address - Fax:
Practice Address - Street 1:222 M ST SW # 3109
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-3735
Practice Address - Country:US
Practice Address - Phone:202-652-5191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant