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Individual
MRS. JULIE FAWN ELAM
Active
Individual
MRS. JULIE FAWN ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, MSN, RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
42367
KY
163W00000X
Registered Nurse
RN582105
PA
363L00000X
Nurse Practitioner
42367
KY
363LF0000X
Family Nurse Practitioner
Primary
823501
TX
363LF0000X
Family Nurse Practitioner
SP009362
PA
Other
Enumeration date
08/21/2006
Last updated
06/22/2014
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