Provider Demographics
NPI:1730496563
Name:CROWE, JULIE A (APRN)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:A
Last Name:CROWE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:A
Other - Last Name:HOWARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 306417
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37230-6417
Mailing Address - Country:US
Mailing Address - Phone:931-253-1110
Mailing Address - Fax:931-253-1110
Practice Address - Street 1:8211 W STATE ROUTE 66
Practice Address - Street 2:SUITE A
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-2534
Practice Address - Country:US
Practice Address - Phone:812-490-0463
Practice Address - Fax:812-490-0469
Is Sole Proprietor?:No
Enumeration Date:2010-08-31
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3007162363L00000X
IN71006485A363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000735612OtherANTHEM BC/BS
KY7100190890Medicaid
KY000000735612OtherANTHEM BC/BS