Provider Demographics
NPI:1518338631
Name:HARRIS, JULIENNE (FNP-C)
Entity Type:Individual
Prefix:
First Name:JULIENNE
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 MANNING DR
Mailing Address - Street 2:1150 PHYSICIAN OFFICE BUILDING, CB 7213
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7213
Mailing Address - Country:US
Mailing Address - Phone:919-966-5221
Mailing Address - Fax:919-966-8806
Practice Address - Street 1:170 MANNING DR
Practice Address - Street 2:1150 PHYSICIAN OFFICE BUILDING, CB 7213
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7213
Practice Address - Country:US
Practice Address - Phone:919-966-5221
Practice Address - Fax:919-966-8806
Is Sole Proprietor?:No
Enumeration Date:2015-10-15
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5008099363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily