Individual
JULIE LYNN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
4320 WORNALL RD STE 530, KANSAS CITY, MO 64111-5942
(816) 932-2836
(816) 932-9868
Mailing address
901 E 104TH ST, MAILSTOP 400, KANAS CITY, MO 64131
(816) 599-9499
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110885
MO
Other
Enumeration date
06/03/2009
Last updated
03/17/2018
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