Healthcare Provider Details

I. General information

NPI: 1962589697
Provider Name (Legal Business Name): JULIE A. STARR NNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 11/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10025 CHELTENHAM DR
KNOXVILLE TN
37922-5765
US

IV. Provider business mailing address

183 GREENBRIAR DRIVE
MEMPHIS TN
38117
US

V. Phone/Fax

Practice location:
  • Phone: 865-256-5330
  • Fax:
Mailing address:
  • Phone: 901-820-0703
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberRN0000112686
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: