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NPI Code Detail

MEDICARE: JULIE MORAN NP

MEDICARE:   JULIE  MORAN  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 PractitionerAPN6653TN

General Provider Information

NPI Number : 1952569444
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE MORAN NP
Provider Business Mailing Address
First Line : 2158 NORTHGATE PARK LN
Second Line : 104
City : CHATTANOOGA
State : TN
Zip : 37415-6957
Country : US
Telephone Number : 423-870-2030
Fax Number :
Provider Business Practice Location Address
First Line : 2158 NORTHGATE PARK LN
Second Line : 104
City : CHATTANOOGA
State : TN
Zip : 37415-6957
Country : US
Telephone Number : 423-870-2030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2008
Last Update Date : 05/30/2008

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Directions to “ JULIE MORAN NP” Practice Location

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