Julie Dee Davis
Individual provider Active NPI Registered Nurse · Abilene, TX
NPI 1629616248 · NPPES record last updated Dec 13, 2019
Key facts
- NPI
- 1629616248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 645620 (TX)
- Practice address
- 419 Poplar St
Abilene, TX 79602-1235 - Phone
- (325) 864-6342
- NPI assigned
- Dec 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 645620 | TX | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 645620 | TX | Yes |
Addresses
Primary practice location
419 Poplar St
Abilene, TX 79602-1235
Mailing address
419 Poplar St
Abilene, TX 79602-1235
Phone (325) 864-6342
Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.