Doctor Name: | MS. JULIANNE CHRISTINE RAY |
NPI Number: | 1245535715 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 6965 Cumberland Gap Parkway Lincoln Memorial University Harrogate, TN - 37752 |
Business Phone Number: | 4233133828 |
Business Fax Number: | |
Mailing Address: | 5238 Mcdonald Rd, MC DONALD |
State: | TN |
Postal Code: | 373534059 |
Phone Number: | 4233133828 |
Fax Number: | |
NPI Enumeration Date: | 01/14/2011 |
NPI Last Update Date: | 01/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |