Individual provider Active NPI

Jennifer Anne Julian, APRN

  • Nurse Practitioner
  • Fort Smith, AR
National Provider Identifier
1184181216
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A006082 Issued in AR
Practice address
6801 Rogers Ave FL 2
Fort Smith, AR 72903-4067
Phone
(479) 274-2800
NPI assigned
Feb 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A006082 AR Primary

Addresses

Primary practice location

6801 Rogers Ave FL 2
Fort Smith, AR 72903-4067

Mailing address

2802 Bollinger Rd
Charleston, AR 72933-3337
Phone (479) 561-1354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Bibb MD PLLC CurrentSince May 15, 2022 Accepting new patients
Bradley Bibb MD PLLC Current Accepting new patients
Bradley Bibb, MD PLLC CurrentSince May 15, 2022 Accepting new patients

Locations

49 Highway 62 412
Ash Flat, AR 72513
Phone (573) 718-2570

104 W State St
Caraway, AR 72419
Phone (870) 565-9205

1176 State Highway 22 W
Ste B
Dardanelle, AR 72834
Phone (479) 229-3004

16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706

4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100

3809 E 9th St
Ste 15
Texarkana, AR 71854
Phone (870) 621-0080

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1184181216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 BOLLINGER RD",
            "city": "CHARLESTON",
            "state": "AR",
            "postal_code": "729333337",
            "telephone_number": "479-561-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 ROGERS AVE FL 2",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034067",
            "telephone_number": "479-274-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULIAN",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A006082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.