Doctor Name: | JULIET ROCHE |
NPI Number: | 1043597552 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, APN |
License Number: | 16226 |
Business Practice Address: | 408 Virginia St Paris, TN - 382425341 |
Business Phone Number: | 7316420521 |
Business Fax Number: | 7316421010 |
Mailing Address: | 408 Virginia St, PARIS |
State: | TN |
Postal Code: | 382425341 |
Phone Number: | 7316420521 |
Fax Number: | 7316421010 |
NPI Enumeration Date: | 11/11/2011 |
NPI Last Update Date: | 11/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0808X |
License Number: | 16226 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |