Provider Demographics
NPI:1720556319
Name:HARPER, JULIE SMYTHE (NP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:SMYTHE
Last Name:HARPER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 BERRY RD
Mailing Address - Street 2:
Mailing Address - City:NEWHEBRON
Mailing Address - State:MS
Mailing Address - Zip Code:39140-5496
Mailing Address - Country:US
Mailing Address - Phone:601-382-7277
Mailing Address - Fax:
Practice Address - Street 1:86 BERRY RD
Practice Address - Street 2:
Practice Address - City:NEWHEBRON
Practice Address - State:MS
Practice Address - Zip Code:39140-5496
Practice Address - Country:US
Practice Address - Phone:601-382-7277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-13
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS902988363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care