Provider Demographics
NPI:1689385627
Name:LEMKE, JULIE H (RN)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:H
Last Name:LEMKE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3316 OVERTON RD
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2848
Mailing Address - Country:US
Mailing Address - Phone:205-470-8022
Mailing Address - Fax:
Practice Address - Street 1:3316 OVERTON RD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-2848
Practice Address - Country:US
Practice Address - Phone:205-470-8022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-062860163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse