Provider Demographics
NPI:1790063063
Name:STURGILL, JULIE A (APRN, CNP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:STURGILL
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:A
Other - Last Name:LINDQUIST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:750 OAK ST
Mailing Address - Street 2:
Mailing Address - City:KENOVA
Mailing Address - State:WV
Mailing Address - Zip Code:25530-1517
Mailing Address - Country:US
Mailing Address - Phone:507-951-3349
Mailing Address - Fax:
Practice Address - Street 1:750 OAK ST
Practice Address - Street 2:
Practice Address - City:KENOVA
Practice Address - State:WV
Practice Address - Zip Code:25530-1517
Practice Address - Country:US
Practice Address - Phone:304-453-6136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-03
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2554363LF0000X
MNR 139929 9363LF0000X
WV113922363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily