Provider Demographics
NPI:1790297497
Name:TRUMPOWER, JULIANN MARIE (FNP)
Entity Type:Individual
Prefix:
First Name:JULIANN
Middle Name:MARIE
Last Name:TRUMPOWER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14228 GRANTHAM CT
Mailing Address - Street 2:
Mailing Address - City:INDIAN LAND
Mailing Address - State:SC
Mailing Address - Zip Code:29707-6482
Mailing Address - Country:US
Mailing Address - Phone:704-996-0974
Mailing Address - Fax:
Practice Address - Street 1:9789 CHARLOTTE HWY STE 1400
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29707-7186
Practice Address - Country:US
Practice Address - Phone:803-548-7007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-02
Last Update Date:2017-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCF07171081363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care