Provider Demographics
NPI:1154307445
Name:SEARS, JULIA (NP)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:SEARS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:319 VILLAGE RD NE
Practice Address - Street 2:
Practice Address - City:LELAND
Practice Address - State:NC
Practice Address - Zip Code:28451-7417
Practice Address - Country:US
Practice Address - Phone:910-721-1197
Practice Address - Fax:910-721-1199
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV35618363LF0000X
NC5016535363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1069528OtherWV DWC
WV001718063OtherWV BCBS
WV7015218000Medicaid
WVP00027864Medicare PIN
WVP87585Medicare UPIN
WV12942Medicare PIN
WV1069528OtherWV DWC
WV7015218000Medicaid
WV001718063OtherWV BCBS
WVNP12944Medicare PIN
WVP00027866Medicare PIN