Provider Demographics
NPI:1306415039
Name:SKINNER, JULIE M (MSN, APRN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:M
Last Name:SKINNER
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 W 10TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:EUDORA
Mailing Address - State:KS
Mailing Address - Zip Code:66025-9534
Mailing Address - Country:US
Mailing Address - Phone:913-398-1623
Mailing Address - Fax:
Practice Address - Street 1:101 W 10TH ST STE A
Practice Address - Street 2:
Practice Address - City:EUDORA
Practice Address - State:KS
Practice Address - Zip Code:66025-9534
Practice Address - Country:US
Practice Address - Phone:913-398-1623
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-17
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-80269-111363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily