Healthcare Provider Details

I. General information

NPI: 1154668788
Provider Name (Legal Business Name): JULIE M LECLAIRE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE M DEUTSCH

II. Dates (important events)

Enumeration Date: 01/16/2013
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 28 3/4 RD
GRAND JUNCTION CO
81501-5016
US

IV. Provider business mailing address

PO BOX 1727
GRAND JCT CO
81502-1727
US

V. Phone/Fax

Practice location:
  • Phone: 970-241-6023
  • Fax: 970-243-8631
Mailing address:
  • Phone: 970-644-4220
  • Fax: 970-263-4239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPN.0990953-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPN0990953NP
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN0990953-NP
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.0168065
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: