Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN0400X | Neurology | 7323 | TX |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | AP120351 | TX |
NPI | 1467495465 |
---|---|
Provider Name | Dr. Julie Kay Powell |
First Address | Carrollton, TX 75011-6762 |
Second Address | Plano, TX 75093-4472 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 09/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2429017 | AETNA ID (01) | TX |
2971285-01 | (05) | TX |
605768 | BLUE CROSS BLUE SHIELD ID (01) | TX |
U68853 | (02) | TX |