Wylie, Julie Marie

Wylie, Julie Marie is an individual health care provider with primary practice located at 620 W Grove St Ste 202 , El Dorado AR 71730-4425. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Wylie, Julie Marie can be contacted via phone (870) 534-7676.

Contact Information

Primary practice address
620 W Grove St Ste 202 El Dorado AR 71730-4425
Fax: (870) 863-2560
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X A003456 Arkansas

Profile Details

NPI number 1932377256
LBN Legal business name Wylie, Julie Marie
Credentials ANP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2008
Last updated Jan 18th, 2024 - about last year

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 1932377256 NPPES
Arkansas Other 5V322 ARKANSAS BCBS

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