Provider Demographics
NPI:1750682019
Name:FARRIER, JULIE LYNN (PA)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:LYNN
Last Name:FARRIER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1941 S BANEY RD STE 300
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-4502
Mailing Address - Country:US
Mailing Address - Phone:419-207-2663
Mailing Address - Fax:419-289-4631
Practice Address - Street 1:1941 S BANEY RD STE 300
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-4502
Practice Address - Country:US
Practice Address - Phone:419-207-2663
Practice Address - Fax:419-289-4631
Is Sole Proprietor?:No
Enumeration Date:2010-11-03
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50-003157363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant