Provider Demographics
NPI:1982495321
Name:BISHOP, JULIE LYNN
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:LYNN
Last Name:BISHOP
Suffix:
Gender:F
Credentials:
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 736
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:IA
Mailing Address - Zip Code:51577-0736
Mailing Address - Country:US
Mailing Address - Phone:531-203-4507
Mailing Address - Fax:
Practice Address - Street 1:400 WALNUT ST
Practice Address - Street 2:
Practice Address - City:WALNUT
Practice Address - State:IA
Practice Address - Zip Code:51577-3106
Practice Address - Country:US
Practice Address - Phone:531-203-4507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No385H00000XRespite Care FacilityRespite Care