Individual
JULIE T TRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3407 SHAMROCK CT, GAUTIER, MS 39553
(228) 497-0690
(228) 497-1363
Mailing address
3929 AIRPORT BLVD STE 1-206, MOBILE, AL 36609-2233
(251) 721-9649
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-053065
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
658766
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018214
—
MS
Enumeration date
08/11/2005
Last updated
03/03/2020
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