Healthcare Provider Details

I. General information

NPI: 1760610588
Provider Name (Legal Business Name): JULIE DEVINEY NNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE BURRAN

II. Dates (important events)

Enumeration Date: 07/01/2009
Last Update Date: 12/31/2020
Certification Date: 12/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 FOUCHER ST
NEW ORLEANS LA
70115-3515
US

IV. Provider business mailing address

200 HENRY CLAY AVE
NEW ORLEANS LA
70118-5720
US

V. Phone/Fax

Practice location:
  • Phone: 504-897-7011
  • Fax:
Mailing address:
  • Phone: 504-899-9511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberRN124723-AP05723
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: