| Doctor Name: | MRS. JOELLE BABULA BUTLER |
| NPI Number: | 1114160959 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | R178191 |
| Business Practice Address: | 5009 Honeygo Center Dr Suite 216 Perry Hall, MD - 211289828 |
| Business Phone Number: | 4102565858 |
| Business Fax Number: | 4105292431 |
| Mailing Address: | 917 S East Ave, BALTIMORE |
| State: | MD |
| Postal Code: | 212245033 |
| Phone Number: | 4102565858 |
| Fax Number: | 4105292431 |
| NPI Enumeration Date: | 04/09/2009 |
| NPI Last Update Date: | 04/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | R178191 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |