Provider Demographics
NPI:1770868291
Name:HADDEN, JULIE (DPH)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:HADDEN
Suffix:
Gender:F
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5301 HARDING PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2805
Mailing Address - Country:US
Mailing Address - Phone:615-354-0943
Mailing Address - Fax:615-353-6327
Practice Address - Street 1:5301 HARDING PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2805
Practice Address - Country:US
Practice Address - Phone:615-354-0943
Practice Address - Fax:615-353-6327
Is Sole Proprietor?:No
Enumeration Date:2011-10-15
Last Update Date:2011-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6769183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist