Individual
JULIE LYNNE CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1000 ASHLAND DR STE 103, ASHLAND, KY 41101-7092
(606) 324-0098
(606) 324-0315
Mailing address
1735 27TH ST WALLER BLDG SUITE B06, PORTSMOUTH, OH 45662
(740) 356-8008
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3008468
KY
363L00000X
Nurse Practitioner
APRN.CNP.15543
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0097599
—
OH
01
—
105923
WV LICENSE
WV
01
—
3008468
KY LICENSE
KY
01
—
APRN.CNP.15543
OH LICENSE
OH
01
—
H281901
MEDICARE
OH
01
—
K211770
MEDICARE
KY
Enumeration date
03/14/2007
Last updated
09/26/2022
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