Provider Demographics
NPI:1609262617
Name:HARBIN, JULIE (LPN)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:HARBIN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4520 WATERMELON RD
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35473-5246
Mailing Address - Country:US
Mailing Address - Phone:205-752-7445
Mailing Address - Fax:205-556-8868
Practice Address - Street 1:4520 WATERMELON RD
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35473-5246
Practice Address - Country:US
Practice Address - Phone:205-752-7445
Practice Address - Fax:205-556-8868
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-07
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2-049254164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse