Provider Demographics
NPI:1760246870
Name:HIGHTOWER, JULIE MICHELLE (LPN)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:MICHELLE
Last Name:HIGHTOWER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:MICHELLE
Other - Last Name:HIGHTOWER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10205 BIRCH LANE DRIVE
Mailing Address - Street 2:
Mailing Address - City:BEGGS
Mailing Address - State:OK
Mailing Address - Zip Code:74421
Mailing Address - Country:US
Mailing Address - Phone:918-894-9328
Mailing Address - Fax:
Practice Address - Street 1:27 EAST ROSS AVE
Practice Address - Street 2:
Practice Address - City:SAPULPA
Practice Address - State:OK
Practice Address - Zip Code:74066-6423
Practice Address - Country:US
Practice Address - Phone:918-227-2016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKL0056329164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse