Smith, Julie Ann

Smith, Julie Ann is an individual health care provider with primary practice located at 1056 E Raines Rd , Memphis TN 38116-6337. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Smith, Julie Ann can be contacted via phone (901) 300-5777.

Contact Information

Primary practice address
1056 E Raines Rd Memphis TN 38116-6337
Phone: (901) 300-5777
Fax: (901) 422-6092
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X RN0000080499 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 810295 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APN0000010879 Tennessee

Profile Details

NPI number 1518099530
LBN Legal business name Smith, Julie Ann
Credentials MSN,ACNP, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Dec 19th, 2022 - 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 1518099530 NPPES
Tennessee MEDICAID 1515130

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