Provider Demographics
NPI:1902009848
Name:LONG, JULIE LYNN (NP)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:LYNN
Last Name:LONG
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Gender:F
Credentials:NP
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Mailing Address - Street 1:3425 BEE CAVES RD STE B3
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6693
Mailing Address - Country:US
Mailing Address - Phone:512-865-4424
Mailing Address - Fax:512-500-2028
Practice Address - Street 1:3425 BEE CAVES RD STE B3
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6693
Practice Address - Country:US
Practice Address - Phone:512-865-4424
Practice Address - Fax:512-500-2028
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2024-12-11
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Provider Licenses
StateLicense IDTaxonomies
TX608462363LW0102X
TXAP109241363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health