Healthcare Provider Details

I. General information

NPI: 1437987401
Provider Name (Legal Business Name): JULIE RENEE' TOMLINSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 07/22/2024
Certification Date: 07/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4119 ASHINGTON
SAN ANTONIO TX
78247-3522
US

IV. Provider business mailing address

4119 ASHINGTON
SAN ANTONIO TX
78247-3522
US

V. Phone/Fax

Practice location:
  • Phone: 512-660-8466
  • Fax:
Mailing address:
  • Phone: 512-660-8466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number752675
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: