Provider Demographics
NPI:1265035984
Name:TODD, JULIE ALESE
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ALESE
Last Name:TODD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7233 ALTHORP WAY APT S14
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-7156
Mailing Address - Country:US
Mailing Address - Phone:256-683-0520
Mailing Address - Fax:
Practice Address - Street 1:3064 COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-7424
Practice Address - Country:US
Practice Address - Phone:615-472-2053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21169183500000X
TN43291183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist