Provider Demographics
NPI:1710685342
Name:EWING, JULIA KATRINA (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:KATRINA
Last Name:EWING
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 STUART LN
Mailing Address - Street 2:
Mailing Address - City:FATE
Mailing Address - State:TX
Mailing Address - Zip Code:75189-4686
Mailing Address - Country:US
Mailing Address - Phone:972-302-3359
Mailing Address - Fax:
Practice Address - Street 1:410 STUART LN
Practice Address - Street 2:
Practice Address - City:FATE
Practice Address - State:TX
Practice Address - Zip Code:75189-4686
Practice Address - Country:US
Practice Address - Phone:197-230-2335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-22
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1111489363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily