Doctor Name: | JULIE A. SPORES |
NPI Number: | 1003138017 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 122483 |
Business Practice Address: | 11 Glynn Plz Brunswick, GA - 315203641 |
Business Phone Number: | 9125548510 |
Business Fax Number: | 9122801523 |
Mailing Address: | 3441 Cypress Mill Rd, Suite 102 BRUNSWICK |
State: | GA |
Postal Code: | 315202878 |
Phone Number: | 9125548510 |
Fax Number: | 9122645965 |
NPI Enumeration Date: | 02/17/2010 |
NPI Last Update Date: | 02/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163W00000X |
License Number: | 122483 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N. |