Healthcare Provider Details

I. General information

NPI: 1497058721
Provider Name (Legal Business Name): JULIE B BENAC NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE SMITH

II. Dates (important events)

Enumeration Date: 12/08/2010
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 WHITTINGTON PKWY STE 100
LOUISVILLE KY
40222-4930
US

IV. Provider business mailing address

1515 SHAKERTOWN RD
DANVILLE KY
40422-9261
US

V. Phone/Fax

Practice location:
  • Phone: 186-646-0356
  • Fax: 855-632-8329
Mailing address:
  • Phone: 706-987-0500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN154964
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number3008650
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: