Provider Demographics
NPI:1689915720
Name:RENFROE, JULEE G (RN)
Entity Type:Individual
Prefix:MS
First Name:JULEE
Middle Name:G
Last Name:RENFROE
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 1:4411 OLD BULLARD RD STE 602
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-1215
Mailing Address - Country:US
Mailing Address - Phone:903-595-2235
Mailing Address - Fax:
Practice Address - Street 1:4411 OLD BULLARD RD STE 602
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-1215
Practice Address - Country:US
Practice Address - Phone:903-595-2235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-14
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator