Individual
JULIE A REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
301 MED TECH PKWY STE 240, JOHNSON CITY, TN 37604-2641
(423) 794-5520
(423) 282-6940
Mailing address
408 N STATE OF FRANKLIN RD, SUITE 24, JOHNSON CITY, TN 37604-6089
(423) 431-1810
(423) 431-1811
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024181453
VA
363LF0000X
Family Nurse Practitioner
Primary
0024181453
VA
363LF0000X
Family Nurse Practitioner
20282
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679949572
—
NC
05
—
1679949572
—
VA
01
—
PO1574290
RAILROAD MEDICARE
TN
05
—
Q017013
—
TN
Enumeration date
08/13/2015
Last updated
01/11/2022
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