Provider Demographics
NPI:1154427904
Name:MANESS, JULIA K (ARNP)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:K
Last Name:MANESS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 STERLING WAY
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-1176
Mailing Address - Country:US
Mailing Address - Phone:859-498-0200
Mailing Address - Fax:
Practice Address - Street 1:100 STERLING WAY
Practice Address - Street 2:SUITE 1
Practice Address - City:MOUNT STERLING
Practice Address - State:KY
Practice Address - Zip Code:40353-1176
Practice Address - Country:US
Practice Address - Phone:859-498-0200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1587P363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY78016391Medicaid
KYD92445Medicare UPIN
KY0714511Medicare PIN