Provider Demographics
NPI:1053551648
Name:HOUGH, JULIE ANN (NP-C)
Entity type:Individual
Prefix:MISS
First Name:JULIE
Middle Name:ANN
Last Name:HOUGH
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 219672
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64121-9672
Mailing Address - Country:US
Mailing Address - Phone:816-781-7200
Mailing Address - Fax:816-781-6973
Practice Address - Street 1:2525 GLENN HENDREN DR
Practice Address - Street 2:PAIN MANAGEMENT
Practice Address - City:LIBERTY
Practice Address - State:MO
Practice Address - Zip Code:64068-9625
Practice Address - Country:US
Practice Address - Phone:816-781-7200
Practice Address - Fax:816-781-6973
Is Sole Proprietor?:No
Enumeration Date:2009-02-23
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009003482364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist