Provider Demographics
NPI:1255747770
Name:BRAUN, JULIANNE RENE (APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:JULIANNE
Middle Name:RENE
Last Name:BRAUN
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 776351
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6351
Mailing Address - Country:US
Mailing Address - Phone:502-588-9490
Mailing Address - Fax:502-272-5116
Practice Address - Street 1:210 E GRAY ST
Practice Address - Street 2:SUITE 1105
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-3900
Practice Address - Country:US
Practice Address - Phone:502-583-1697
Practice Address - Fax:502-583-2120
Is Sole Proprietor?:No
Enumeration Date:2014-07-03
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY3009462363LF0000X
IN71004991A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201246230Medicaid
KY50080709OtherPASSPORT HEALTH PLAN
KY164405OtherSIHO-NNIKY
INP01362433OtherRAILROAD MEDICARE
KYP01489999OtherRAILROAD MEDICARE
KY1055383OtherANTHEM - NNIKY
KY7100361000Medicaid
IN201246230Medicaid
INP01362433OtherRAILROAD MEDICARE
KYP01489999OtherRAILROAD MEDICARE