Provider Demographics
NPI:1043744386
Name:THORN, JULIE CURTIS (AGNP-C)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:CURTIS
Last Name:THORN
Suffix:
Gender:F
Credentials:AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:374 HUDLOW RD
Mailing Address - Street 2:
Mailing Address - City:FOREST CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28043-9444
Mailing Address - Country:US
Mailing Address - Phone:828-245-0095
Mailing Address - Fax:828-245-5389
Practice Address - Street 1:374 HUDLOW RD
Practice Address - Street 2:
Practice Address - City:FOREST CITY
Practice Address - State:NC
Practice Address - Zip Code:28043-9444
Practice Address - Country:US
Practice Address - Phone:828-245-0095
Practice Address - Fax:828-248-9434
Is Sole Proprietor?:No
Enumeration Date:2017-04-13
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC178370363LP2300X
NC5009441363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care