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Individual

MRS. JULIE DIANE HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CPNP

Contact information

Practice address
6425 S IH 35 STE 100, AUSTIN, TX 78744-4230
(512) 744-6000
(512) 225-6520
Mailing address
9411 N LAMAR BLVD STE 120, AUSTIN, TX 78753
(512) 583-9679
(512) 233-0985

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP119939
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3530669-01
TX
Enumeration date
02/29/2008
Last updated
04/26/2016
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