Individual
JULIE A MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2001 LAUREL AVE, STE 206, KNOXVILLE, TN 37916-1865
(865) 524-3131
(865) 212-6323
Mailing address
2001 LAUREL AVE, STE 206, KNOXVILLE, TN 37916-1865
(865) 524-3131
(865) 212-6323
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN0000079245
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3909665
—
TN
01
—
4059836
BCBS
TN
01
—
500030629
RAILROAD MEDICARE
TN
01
—
702021494
CARITEN HEALTHCARE
TN
01
—
7269461
AETNA US HEALTHCARE
TN
Enumeration date
06/27/2005
Last updated
07/14/2010
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