Provider Demographics
NPI:1043840309
Name:STALLINGS, JULIE ANNE (FNP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ANNE
Last Name:STALLINGS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ANNE
Other - Last Name:ASPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1130 HORSETAIL LOOP
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:CO
Mailing Address - Zip Code:80107-8664
Mailing Address - Country:US
Mailing Address - Phone:772-828-0042
Mailing Address - Fax:
Practice Address - Street 1:7307 S REVERE PKWY STE 201
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3931
Practice Address - Country:US
Practice Address - Phone:720-456-3989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-24
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5012751363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty