Individual
JULIE NICOLE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8033 DIXIE HIGHWAY, LOUISVILLE, KY 40258-1344
(502) 937-3154
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 559-9337
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3016920
KY
363LF0000X
Family Nurse Practitioner
Primary
3016920
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300066965
—
IN
05
—
7100844920
—
KY
01
—
K410910
MEDICARE
KY
Enumeration date
08/25/2022
Last updated
04/26/2024
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