Provider Demographics
NPI:1922999663
Name:CALLAHAN, JULIA KARI (MSN, FNP-BC)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:KARI
Last Name:CALLAHAN
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1651 KINGSWAY CT STE A
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48183-1959
Mailing Address - Country:US
Mailing Address - Phone:734-671-2110
Mailing Address - Fax:
Practice Address - Street 1:1651 KINGSWAY CT STE A
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:MI
Practice Address - Zip Code:48183-1959
Practice Address - Country:US
Practice Address - Phone:734-671-2110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704407553363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily