Doctor Name: | MRS. BRENDA JULIAN |
NPI Number: | 1053324616 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 201063 |
Business Practice Address: | 1410 E. Ash Ave Family Works Psychological Center Goldsboro, NC - 27530 |
Business Phone Number: | 9197788551 |
Business Fax Number: | |
Mailing Address: | 300 Lane Tree Dr, GOLDSBORO |
State: | NC |
Postal Code: | 275309050 |
Phone Number: | 9195809800 |
Fax Number: | |
NPI Enumeration Date: | 08/14/2006 |
NPI Last Update Date: | 10/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 201063 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |