Individual
JULIE SUZANNE DURAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P/MHNP
Contact information
Practice address
855 MONTGOMERY ST, FORT WORTH, TX 76107-2553
(817) 735-2400
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
(817) 735-2400
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
756098
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312715101
—
TX
01
—
891N98
BCBS
TX
01
—
P01379257
RAILROAD MEDICARE
TX
Enumeration date
11/01/2012
Last updated
12/23/2014
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