Provider Demographics
NPI:1861002420
Name:PURVIS, JULIE A (RN)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:PURVIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29675 REEVES LN
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:LA
Mailing Address - Zip Code:70711-3520
Mailing Address - Country:US
Mailing Address - Phone:225-567-9177
Mailing Address - Fax:
Practice Address - Street 1:ALBANY MIDDLE
Practice Address - Street 2:29675 REEVES
Practice Address - City:ALBANY
Practice Address - State:LA
Practice Address - Zip Code:70711
Practice Address - Country:US
Practice Address - Phone:225-567-9177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-07
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA095667163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool