Individual
JULIANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 PARK ST, BOWLING GREEN, KY 42101-1708
(270) 781-5111
(270) 780-0493
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1742
(270) 781-5111
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3014107
KY
Other
Enumeration date
12/04/2019
Last updated
06/10/2024
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