Individual ProviderJulie Ann SmithRegistered NurseNursing Service ProvidersPractice Address13601 Preston Rd Ste 210w, Dallas, TX 75240-4986(972) 702-0300(817) 470-1694PECOS EnrollmentBased on the most recent information from CMS, provider Julie Ann Smith does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1740784032Provider TypeIndividualFull NameSmith, Julie AnnCredentialRNGenderFemaleSole ProprietorNoEnumeration Date3/21/2018Last Updated3/21/2018Contact InformationPractice LocationPractice Address13601 Preston Rd Ste 210w, Dallas, TX 75240-4986Phone(972) 702-0300FaxUnlisted FaxMailing LocationMailing Address3904 E Park Blvd, Plano, TX 75074-3421Phone(817) 470-1694FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense528316Texas