Provider Demographics
NPI:1548801889
Name:HOLDER, JULIE M (NP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:M
Last Name:HOLDER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:333 COMMERCE ST STE 700
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37201-1835
Mailing Address - Country:US
Mailing Address - Phone:510-493-9051
Mailing Address - Fax:855-737-5542
Practice Address - Street 1:180 PROMENADE CIR STE 300
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-2952
Practice Address - Country:US
Practice Address - Phone:510-493-9051
Practice Address - Fax:855-737-5542
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-07
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAFNP10652363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily