Healthcare Provider Details

I. General information

NPI: 1780151373
Provider Name (Legal Business Name): JULIE ANNE KUENNEN APRN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2018
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3740 W UNIVERSITY DR STE 50
PROSPER TX
75078-9993
US

IV. Provider business mailing address

3740 W UNIVERSITY DR STE 50
PROSPER TX
75078-9993
US

V. Phone/Fax

Practice location:
  • Phone: 214-249-1015
  • Fax: 214-249-1013
Mailing address:
  • Phone: 214-249-1015
  • Fax: 214-249-1013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP139595
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: