Healthcare Provider Details

I. General information

NPI: 1891781308
Provider Name (Legal Business Name): JULIANNE D PIERCE A.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2005
Last Update Date: 07/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3008 OVERLAND TRL
SHERMAN TX
75092-4522
US

IV. Provider business mailing address

3008 OVERLAND TRL
SHERMAN TX
75092-4522
US

V. Phone/Fax

Practice location:
  • Phone: 903-814-0548
  • Fax:
Mailing address:
  • Phone: 903-814-0548
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number071833
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP126559
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: