Provider Demographics
NPI:1073120846
Name:SCOTT, JULIE JOANN (MPH, RD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:JOANN
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MPH, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 W NC HIGHWAY 54 BYP APT V4
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-2863
Mailing Address - Country:US
Mailing Address - Phone:919-638-7712
Mailing Address - Fax:
Practice Address - Street 1:1105 W NC HIGHWAY 54 BYP APT V4
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-2863
Practice Address - Country:US
Practice Address - Phone:919-638-7712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-25
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered