Provider Demographics
NPI:1487938965
Name:SALMON, JULIA ANNE (APRN-CNP)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:ANNE
Last Name:SALMON
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:ANNE
Other - Last Name:WILLHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-CNP
Mailing Address - Street 1:PO BOX 988
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74018-0988
Mailing Address - Country:US
Mailing Address - Phone:918-855-4745
Mailing Address - Fax:
Practice Address - Street 1:1011 HONOR HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74401-1318
Practice Address - Country:US
Practice Address - Phone:918-577-3799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0088744363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health