Provider Demographics
NPI:1346458163
Name:SPRUILL, JULIA HASSELL (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:HASSELL
Last Name:SPRUILL
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:500 COUNTRY CLUB CT
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-8028
Mailing Address - Country:US
Mailing Address - Phone:757-547-3330
Mailing Address - Fax:
Practice Address - Street 1:600 GRESHAM DR
Practice Address - Street 2:TRANSPLANT CENTER
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1904
Practice Address - Country:US
Practice Address - Phone:757-466-6122
Practice Address - Fax:757-388-2814
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024130550363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
P39578Medicare UPIN
VA7789831Medicare ID - Type Unspecified