Individual
JULIE MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1690 FORT CAMPBELL BLVD, CLARKSVILLE, TN 37042-7531
(931) 648-4838
(931) 919-0237
Mailing address
1690 FORT CAMPBELL BLVD, CLARKSVILLE, TN 37042-7531
(307) 290-2891
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25311
TN
363LF0000X
Family Nurse Practitioner
3012515
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3012515
FNP
KY
Enumeration date
07/30/2018
Last updated
02/10/2020
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