Provider Demographics
NPI:1588372536
Name:CRAMER, JULIE ANNA (FNP-C)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:ANNA
Last Name:CRAMER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ANNA
Other - Last Name:MCMAHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1900 MEADOWLANE DR
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:MO
Mailing Address - Zip Code:64601-3567
Mailing Address - Country:US
Mailing Address - Phone:660-247-5356
Mailing Address - Fax:
Practice Address - Street 1:3151 LITTON RD
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:MO
Practice Address - Zip Code:64601-8502
Practice Address - Country:US
Practice Address - Phone:660-646-4032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022021024363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily