Provider Demographics
NPI:1609194430
Name:VANLANINGHAM, JULIANNE MURRAY (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:JULIANNE
Middle Name:MURRAY
Last Name:VANLANINGHAM
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:JULIANNE
Other - Middle Name:
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1 CHILDRENS WAY
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72202-3500
Mailing Address - Country:US
Mailing Address - Phone:501-364-1100
Mailing Address - Fax:501-364-6865
Practice Address - Street 1:1 CHILDRENS WAY
Practice Address - Street 2:DEPT. OF PEDIATRICS (NEONATOLOGY)
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72202-3500
Practice Address - Country:US
Practice Address - Phone:501-364-1100
Practice Address - Fax:501-364-6865
Is Sole Proprietor?:No
Enumeration Date:2010-05-04
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9264512363LN0000X
ARA03435363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002955-00Medicaid
FLDF979ZMedicare PIN