Provider Demographics
NPI:1104052588
Name:LUDWIG, JULIE FAITH (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:FAITH
Last Name:LUDWIG
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:503 HIGHLAND TER D
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-2421
Mailing Address - Country:US
Mailing Address - Phone:615-890-5393
Mailing Address - Fax:615-890-1576
Practice Address - Street 1:503 HIGHLAND TER D
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-2421
Practice Address - Country:US
Practice Address - Phone:615-890-5393
Practice Address - Fax:615-890-1576
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-30
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN14194363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily