Provider Demographics
NPI:1588382618
Name:MILLER, JULIE CAROLINE (DNP, FNP-BC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:CAROLINE
Last Name:MILLER
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3880 LOCKHART DR
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-3076
Mailing Address - Country:US
Mailing Address - Phone:586-942-0324
Mailing Address - Fax:
Practice Address - Street 1:3016 COMMUNICATIONS PKWY STE 100
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8906
Practice Address - Country:US
Practice Address - Phone:972-312-8429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-15
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1069321163W00000X, 363LF0000X
MI4704338850163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse