Provider Demographics
NPI:1649586496
Name:HALL, JULIA ANN (ARNP)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:ANN
Last Name:HALL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 BUECHEL BANK RD APT 4100B
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40225-0001
Mailing Address - Country:US
Mailing Address - Phone:502-452-0777
Mailing Address - Fax:866-287-5090
Practice Address - Street 1:4000 BUECHEL BANK RD
Practice Address - Street 2:AP4- 100B MEDICAL BUILDING
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40225
Practice Address - Country:US
Practice Address - Phone:502-452-0777
Practice Address - Fax:866-287-5090
Is Sole Proprietor?:No
Enumeration Date:2010-08-30
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3011697363LF0000X
IN28142728A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily