Livesay, Julie L

Livesay, Julie L is an individual health care provider with primary practice located at 100 Lantana Rd Ste 202 , Crossville TN 38555-1903. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Livesay, Julie L can be contacted via phone (931) 484-5141.

Contact Information

Primary practice address
100 Lantana Rd Ste 202 Crossville TN 38555-1903
Phone: (931) 484-5141
Fax: (931) 484-5620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18396 Tennessee

Profile Details

NPI number 1851717367
LBN Legal business name Livesay, Julie L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2014
Last updated Jun 29th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851717367 NPPES
Tennessee MEDICAID Q010426

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