Provider Demographics
NPI:1578347431
Name:DONLON, JULIE ELAINE (APRN)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ELAINE
Last Name:DONLON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 ANN BRANDEN BLVD
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-1667
Mailing Address - Country:US
Mailing Address - Phone:405-515-0520
Mailing Address - Fax:
Practice Address - Street 1:2000 ANN BRANDEN BLVD
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-1667
Practice Address - Country:US
Practice Address - Phone:405-515-0520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK214204363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily