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Individual

JULIE J BORUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1633 N CAPITOL AVE, SUITE 300, INDIANAPOLIS, IN 46202-1261
(317) 962-2700
(317) 963-3393
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71000211A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71000211A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200035980
IN
Enumeration date
02/21/2014
Last updated
05/16/2025
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