| Doctor Name: | JULIA ANNA LYN GUMPERT |
| NPI Number: | 1457653727 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | |
| Business Practice Address: | 4092 Professional Dr Hope Mills, NC - 283482366 |
| Business Phone Number: | 9106153120 |
| Business Fax Number: | 9104243852 |
| Mailing Address: | 1325 Yellow Ribbon Dr, Apt C FAYETTEVILLE |
| State: | NC |
| Postal Code: | 283141593 |
| Phone Number: | 9109732933 |
| Fax Number: | 9104243852 |
| NPI Enumeration Date: | 11/18/2010 |
| NPI Last Update Date: | 04/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |