Provider Demographics
NPI:1235790288
Name:STRUBLE, JULIE MILLS (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:MILLS
Last Name:STRUBLE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4053 HANOVER ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-7010
Mailing Address - Country:US
Mailing Address - Phone:214-995-2551
Mailing Address - Fax:
Practice Address - Street 1:4053 HANOVER ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-7010
Practice Address - Country:US
Practice Address - Phone:214-995-2551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-20
Last Update Date:2022-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP138176363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner