Provider Demographics
NPI:1508014283
Name:COX, JULIE MCLAUGHLIN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:MCLAUGHLIN
Last Name:COX
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:JULIE
Other - Middle Name:A
Other - Last Name:MCLAUGHLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:2000 WASHINGTON ST S.
Mailing Address - Street 2:SUITE 104
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02462
Mailing Address - Country:US
Mailing Address - Phone:617-630-0380
Mailing Address - Fax:617-630-2026
Practice Address - Street 1:2000 WASHINGTON ST
Practice Address - Street 2:SUITE 104 BLUE BUILDING
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02462-1650
Practice Address - Country:US
Practice Address - Phone:617-630-0380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-05
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA273986363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily