Provider Demographics
NPI:1689919045
Name:PHILLIPS, JULIE REAVIE (MSN, CRNP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:REAVIE
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:MSN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 GREAT CIRCLE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228-1317
Mailing Address - Country:US
Mailing Address - Phone:615-284-2336
Mailing Address - Fax:615-284-5021
Practice Address - Street 1:2000 CHURCH ST
Practice Address - Street 2:BOX 102-IP HOSPITALIST
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37236-4400
Practice Address - Country:US
Practice Address - Phone:615-284-2336
Practice Address - Fax:615-284-5021
Is Sole Proprietor?:No
Enumeration Date:2012-12-11
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL1-133674363LA2100X
ARA004089363LA2100X
TN22363363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care