| Doctor Name: | MRS. JULIE NELL KILCREASE |
| NPI Number: | 1932400421 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 716840 |
| Business Practice Address: | 801 W Main St Gun Barrel City, TX - 751565312 |
| Business Phone Number: | 9038876252 |
| Business Fax Number: | |
| Mailing Address: | 801 W Main St, GUN BARREL CITY |
| State: | TX |
| Postal Code: | 751565312 |
| Phone Number: | 9038876252 |
| Fax Number: | |
| NPI Enumeration Date: | 11/15/2010 |
| NPI Last Update Date: | 03/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 716840 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |