Individual
JULIE L BROCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 S MAIN ST, TIPTON, IN 46072-9753
(317) 678-3735
(317) 678-3735
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
71007026A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300008582
—
IN
Enumeration date
04/06/2017
Last updated
05/19/2025
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