Risley, Julia Lynne

Risley, Julia Lynne is an individual health care provider with primary practice located at 5750 Coventry Ln Suite 101, Fort Wayne IN 46804-7166. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Risley, Julia Lynne can be contacted via phone (260) 436-9337.

Contact Information

Primary practice address
5750 Coventry Ln Suite 101 Fort Wayne IN 46804-7166
Phone: (260) 436-9337
Fax: (260) 436-9626
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10000508A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10000508A Indiana

Profile Details

NPI number 1437121712
LBN Legal business name Risley, Julia Lynne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Feb 5th, 2024 - about 2 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 1437121712 NPPES
Indiana Other 000000301921 ANTHEM

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