Provider Demographics
NPI:1114546066
Name:JULIEN, COURTNEY J (LM, CPM)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:J
Last Name:JULIEN
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:J
Other - Last Name:HILLIARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2892 BOXWOOD GROVE ROW
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-4405
Mailing Address - Country:US
Mailing Address - Phone:727-510-0704
Mailing Address - Fax:
Practice Address - Street 1:1845 COLLIER PARKWAY
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33549
Practice Address - Country:US
Practice Address - Phone:813-461-3844
Practice Address - Fax:813-776-3608
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-10
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW354176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife