Julia Katrina Ewing, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Fate, TX

NPI 1710685342 · NPPES record last updated Feb 22, 2023

Key facts

NPI
1710685342
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
1111489 (TX)
Practice address
410 Stuart LN
Fate, TX 75189-4686
Phone
(197) 230-2335
NPI assigned
Feb 22, 2023
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1111489TXMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1111489 TX Yes

Addresses

Primary practice location

410 Stuart LN
Fate, TX 75189-4686

Mailing address

410 Stuart LN
Fate, TX 75189-4686
Phone (972) 302-3359

Other providers in Fate, TX

All providers in Fate, TX · Family Nurse Practitioner in Texas

Sources for this page

Verify at the official NPI Registry.