Provider Demographics
NPI:1497716823
Name:ALMS-DUBOIS, JULIE A (APN)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:ALMS-DUBOIS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:DUBOIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN
Mailing Address - Street 1:5114 N GLEN PARK PLACE RD
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61614-4686
Mailing Address - Country:US
Mailing Address - Phone:309-683-6600
Mailing Address - Fax:309-683-2412
Practice Address - Street 1:5114 N GLEN PARK PLACE RD
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61614-4686
Practice Address - Country:US
Practice Address - Phone:309-683-6600
Practice Address - Fax:309-683-2412
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2009000596363L00000X
TX753514363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
309001178OtherCONT SUBS
TX753514OtherRN/APN
TXMD1793531OtherDEA