Julie J Debord
Nurse Practitioner - Gerontology
2600 Greenbush St
Lafayette
, Indiana 47904-2477
Julie J Debord
Nurse Practitioner - Gerontology
2600 Greenbush St
Lafayette
, Indiana 47904-2477
(877) 668-5621
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Julie J Debord
- 1200 W White River Blvd
- Muncie, IN
- Zip : 47303-4988
- Phone : (877) 668-5621
Second Address
- Julie J Debord
- 2600 Greenbush St
- Lafayette, IN
- Zip : 47904-2477
- Phone : (765) 448-8000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 71009269A | IN |
National Provider Identifier
| NPI | 1053968024 |
|---|---|
| Provider Name | Julie J Debord |
| First Address | Muncie, IN 47303-4988 |
| Second Address | Lafayette, IN 47904-2477 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/08/2019 |
| Last Update Date | 04/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 300032530 | (05) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.