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Individual

AMY SUSANNA JULIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
6276 E ROBERTS LN, SPRINGFIELD, MO 65802-8200
(417) 866-6885
Mailing address
6276 E ROBERTS LN, SPRINGFIELD, MO 65802-8200
(417) 866-6885

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2021017645
MO
363L00000X
Nurse Practitioner
Primary
70090
NM

Other

Enumeration date
04/05/2021
Last updated
09/29/2022
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