Provider Demographics
NPI:1154027910
Name:TECENO, JULIE ANN (FNP,C)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:ANN
Last Name:TECENO
Suffix:
Gender:F
Credentials:FNP,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2487 S MICHIGAN RD STE E
Mailing Address - Street 2:
Mailing Address - City:EATON RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:48827-8252
Mailing Address - Country:US
Mailing Address - Phone:517-836-2178
Mailing Address - Fax:517-836-2182
Practice Address - Street 1:2487 S MICHIGAN RD STE E
Practice Address - Street 2:
Practice Address - City:EATON RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:48827-8252
Practice Address - Country:US
Practice Address - Phone:269-580-1487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-03
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704234579363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily