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NPI Code Detail

MEDICARE: MS. JULIE D HORTON NP

MEDICARE: MS. JULIE D HORTON NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner101.0134169VT
2363LF0000XFamily Nurse Practitioner218942GA
3363LF0000XFamily Nurse Practitioner18956TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01698288OTHERSCRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164830543
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JULIE D HORTON NP
Provider Business Mailing Address
First Line : 6828 AUTUMN LAKE TRL
Second Line :
City : HIXSON
State : TN
Zip : 37343-2551
Country : US
Telephone Number : 423-314-1440
Fax Number :
Provider Business Practice Location Address
First Line : 3739 HIXSON PIKE
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37415-3520
Country : US
Telephone Number : 423-875-0999
Fax Number : 423-875-0896
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2014
Last Update Date : 01/04/2022

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