Provider Demographics
NPI:1245535715
Name:RAY, JULIANNE CHRISTINE
Entity type:Individual
Prefix:MS
First Name:JULIANNE
Middle Name:CHRISTINE
Last Name:RAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5238 MCDONALD RD
Mailing Address - Street 2:
Mailing Address - City:MC DONALD
Mailing Address - State:TN
Mailing Address - Zip Code:37353-4059
Mailing Address - Country:US
Mailing Address - Phone:423-313-3828
Mailing Address - Fax:
Practice Address - Street 1:6965 CUMBERLAND GAP PARKWAY
Practice Address - Street 2:LINCOLN MEMORIAL UNIVERSITY
Practice Address - City:HARROGATE
Practice Address - State:TN
Practice Address - Zip Code:37752
Practice Address - Country:US
Practice Address - Phone:423-313-3828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-14
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical