Provider Demographics
NPI:1740985134
Name:SENN-REEVES, JULIA NAGLE (DNP, APRN, CCNS, CCR)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:NAGLE
Last Name:SENN-REEVES
Suffix:
Gender:F
Credentials:DNP, APRN, CCNS, CCR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2437 SARATOGA DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-2022
Mailing Address - Country:US
Mailing Address - Phone:507-250-5726
Mailing Address - Fax:
Practice Address - Street 1:1920 NEWBURG RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-1424
Practice Address - Country:US
Practice Address - Phone:502-544-7809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3004481364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health