Provider Demographics
NPI:1144092909
Name:LOVEDAY, JULIE MICHELLE (MSN, RN)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:MICHELLE
Last Name:LOVEDAY
Suffix:
Gender:F
Credentials:MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2711 SCOTCHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72405-8372
Mailing Address - Country:US
Mailing Address - Phone:870-208-5684
Mailing Address - Fax:
Practice Address - Street 1:3203 METHODIST DR
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-7434
Practice Address - Country:US
Practice Address - Phone:870-935-1800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-25
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
ARR71338163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program