Individual
JULIE C. GRANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
4101 TECHNOLOGY AVE, NEW ALBANY, IN 47150-8548
(812) 941-4500
Mailing address
4101 TECHNOLOGY AVE, NEW ALBANY, IN 47150-8548
(812) 941-4500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001841A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200835150A
—
IN
Enumeration date
06/09/2005
Last updated
03/21/2021
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