Provider Demographics
NPI:1558307645
Name:BROWN, JULIE L (ARNP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:L
Last Name:BROWN
Suffix:
Gender:F
Credentials:ARNP
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Mailing Address - Street 1:2790 CLAY EDWARDS DRIVE
Mailing Address - Street 2:SUITE 530
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116
Mailing Address - Country:US
Mailing Address - Phone:816-452-3300
Mailing Address - Fax:816-453-0677
Practice Address - Street 1:2790 CLAY EDWARDS DRIVE
Practice Address - Street 2:SUITE 530
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116
Practice Address - Country:US
Practice Address - Phone:816-452-3300
Practice Address - Fax:816-453-0677
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2008-01-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IAF059108363LW0102X
MO084523363LW0102X, 207V00000X
KS44548363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO09841028OtherBCBS OF KC PROVIDER #
MO05543013OtherBCBS OF KC GRP
MO05543013OtherBCBS OF KC GRP