Individual
JULIE L LIVESAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 LANTANA RD STE 202, CROSSVILLE, TN 38555-1903
(931) 484-5141
(931) 484-5620
Mailing address
100 LANTANA RD STE 202, CROSSVILLE, TN 38555-1903
(931) 484-5141
(931) 484-5620
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18396
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q010426
—
TN
Enumeration date
03/07/2014
Last updated
06/29/2020
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