Provider Demographics
NPI:1073883815
Name:QUINN, JULIUS SEECE (FNP-C, PMHNP-BC)
Entity Type:Individual
Prefix:MR
First Name:JULIUS
Middle Name:SEECE
Last Name:QUINN
Suffix:
Gender:M
Credentials:FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8100 E 22ND ST N STE 100-6
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-2301
Mailing Address - Country:US
Mailing Address - Phone:316-364-4100
Mailing Address - Fax:316-364-4101
Practice Address - Street 1:8100 E 22ND ST N STE 100-6
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-2301
Practice Address - Country:US
Practice Address - Phone:316-364-4100
Practice Address - Fax:316-364-4101
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-11
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS78511363LF0000X, 363LP0808X, 363LP0808X
CA95011142363LF0000X
TXAP130932363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily