Individual
JULIE KISSNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
607 25 RD STE 201, GRAND JUNCTION, CO 81505-1287
(970) 242-1566
Mailing address
607 25 RD STE 201, GRAND JUNCTION, CO 81505-1287
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0178637
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0995966-NP
CO
Other
Enumeration date
10/15/2020
Last updated
11/03/2020
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