| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JULIA HOPE CONNEYWERDY | 1801369574 | 2024-08-11 |
Julia Hope Conneywerdy [F] graduated in 2018 and primarily specializes in Physician Assistant.
Julia Hope Conneywerdy is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1801369574. Registration indicates Julia Hope Conneywerdy is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| PECOS ID | 7517205388 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Julia Hope Conneywerdy PA-C |
| Practice Office Address | 518 E LAKEVIEW RD STILLWATER, OK US |
| Practice Office Telephone | 4055338990 |
| Practice Office Fax | 4055333103 |
| Mailing Address | 302 4TH ST RED ROCK, OK 746510488 US |
| Business Telephone | 5803821966 |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 2980
OK |