Provider Demographics
NPI:1528214004
Name:CHRISTJOHN-BRECKLEY, JULIE ANN (RN)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:CHRISTJOHN-BRECKLEY
Suffix:
Gender:F
Credentials:RN
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 23
Mailing Address - Street 2:
Mailing Address - City:SOUTH SEAVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08246-0023
Mailing Address - Country:US
Mailing Address - Phone:609-624-9200
Mailing Address - Fax:
Practice Address - Street 1:567 KINGS HIGHWAY
Practice Address - Street 2:
Practice Address - City:SOUTH SEAVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08246-0023
Practice Address - Country:US
Practice Address - Phone:609-624-9200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-15
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR11774500163WC0400X
372600000X, 376J00000X, 376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
No372600000XNursing Service Related ProvidersAdult Companion
No376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide