Provider Demographics
NPI:1063977916
Name:FERRELL, JULIE KAY (RN)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:KAY
Last Name:FERRELL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:KAY
Other - Last Name:RYAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:121 SPRUCE DR
Mailing Address - Street 2:
Mailing Address - City:WOODWARD
Mailing Address - State:OK
Mailing Address - Zip Code:73801-5931
Mailing Address - Country:US
Mailing Address - Phone:580-302-4564
Mailing Address - Fax:
Practice Address - Street 1:121 SPRUCE DR
Practice Address - Street 2:
Practice Address - City:WOODWARD
Practice Address - State:OK
Practice Address - Zip Code:73801-5931
Practice Address - Country:US
Practice Address - Phone:580-302-4563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-05
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK93457163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse