Basic Information
| Provider Information | |||||||||
| NPI: | 1477127280 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MARKUS | ||||||||
| FirstName: | JULIE | ||||||||
| MiddleName: | ANN | ||||||||
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| Credential: | NP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8117 PRESTON RD STE 800 | ||||||||
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| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752256328 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2143689600 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1607 S LOCUST AVE | ||||||||
| Address2: | |||||||||
| City: | LAWRENCEBURG | ||||||||
| State: | TN | ||||||||
| PostalCode: | 384644011 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9317663179 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/17/2021 | ||||||||
| LastUpdateDate: | 05/17/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/17/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 29299 | TN | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 208M00000X | 29299 | TN | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.