Doctor Name: | JULIE S NEWMAN |
NPI Number: | 1568752038 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | APN0000015591 |
Business Practice Address: | 149 Durham Dr Maynardville, TN - 378072925 |
Business Phone Number: | 8659922221 |
Business Fax Number: | 8659922251 |
Mailing Address: | 149 Durham Dr, MAYNARDVILLE |
State: | TN |
Postal Code: | 378072925 |
Phone Number: | 8659922221 |
Fax Number: | 8659922251 |
NPI Enumeration Date: | 04/18/2011 |
NPI Last Update Date: | 04/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN0000015591 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |