Provider Demographics
NPI:1093031759
Name:DAVIS, JULIANNE LEIGH (NP)
Entity Type:Individual
Prefix:MISS
First Name:JULIANNE
Middle Name:LEIGH
Last Name:DAVIS
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Gender:F
Credentials:NP
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Mailing Address - Street 1:3495 PIEDMONT ROAD NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305
Mailing Address - Country:US
Mailing Address - Phone:404-364-7070
Mailing Address - Fax:678-445-8162
Practice Address - Street 1:2525 CUMBERLAND PKWY
Practice Address - Street 2:KAISER PERMANENTE CENTER CENTER
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328
Practice Address - Country:US
Practice Address - Phone:770-431-4258
Practice Address - Fax:678-445-8162
Is Sole Proprietor?:No
Enumeration Date:2010-04-20
Last Update Date:2011-02-02
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Provider Licenses
StateLicense IDTaxonomies
GARN206370363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology