Provider Demographics
NPI:1023180072
Name:GAINES, JULIA TAYLOR (RN, BC)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:TAYLOR
Last Name:GAINES
Suffix:
Gender:F
Credentials:RN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1940
Mailing Address - Street 2:
Mailing Address - City:WEAVERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28787-1940
Mailing Address - Country:US
Mailing Address - Phone:828-275-1091
Mailing Address - Fax:828-645-8245
Practice Address - Street 1:35 WOODFIN ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3020
Practice Address - Country:US
Practice Address - Phone:828-250-5064
Practice Address - Fax:828-250-6095
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC073200163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool