Provider Demographics
NPI:1588452585
Name:MACMURRAY, JULIETTE ROSE
Entity type:Individual
Prefix:
First Name:JULIETTE
Middle Name:ROSE
Last Name:MACMURRAY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 SWEETEN GRASS HL # 4-201
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-1217
Mailing Address - Country:US
Mailing Address - Phone:843-415-5323
Mailing Address - Fax:
Practice Address - Street 1:805 6TH AVE W
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-4159
Practice Address - Country:US
Practice Address - Phone:828-697-0105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant