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Individual

JULIE E THORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
601 W 4TH ST, DEQUINCY, LA 70633-3301
(337) 786-6161
(337) 786-7999
Mailing address
601 W 4TH ST, DEQUINCY, LA 70633-3301
(337) 786-6161
(337) 786-7999

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
213743
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3158833
LA
01
5799107599
NATIONAL REGISTRY OF CERTIFIED MEDICAL EXAMINERS
LA
Enumeration date
07/22/2020
Last updated
04/18/2023
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