Provider Demographics
NPI:1538616974
Name:COPE, JULIE KATHLEEN (NP)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:KATHLEEN
Last Name:COPE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7382
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89510-7382
Mailing Address - Country:US
Mailing Address - Phone:775-500-0403
Mailing Address - Fax:866-422-8825
Practice Address - Street 1:5421 KIETZKE LN STE 100
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-1025
Practice Address - Country:US
Practice Address - Phone:916-225-3218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9002170-4405363LF0000X
UT9002170-8900363LF0000X
NV814845363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily