Provider Demographics
NPI:1780564963
Name:SMITH, JULIA MARIE (BSN, RN)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:MARIE
Last Name:SMITH
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 PERRY STANLEY RD
Mailing Address - Street 2:
Mailing Address - City:HARDY
Mailing Address - State:KY
Mailing Address - Zip Code:41531-8722
Mailing Address - Country:US
Mailing Address - Phone:606-385-0156
Mailing Address - Fax:
Practice Address - Street 1:3854 AMERICAN WAY STE A
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-4897
Practice Address - Country:US
Practice Address - Phone:225-292-2031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-06
Last Update Date:2025-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4020322163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH1000XNursing Service ProvidersRegistered NurseHospice