Provider Demographics
NPI:1578008090
Name:MAYS, JULIE (APRN, CPNP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:MAYS
Suffix:
Gender:F
Credentials:APRN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:SEC A11
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:225-765-0013
Mailing Address - Fax:
Practice Address - Street 1:1200 CELEBRITY DR STE 4
Practice Address - Street 2:
Practice Address - City:RUSTON
Practice Address - State:LA
Practice Address - Zip Code:71270-3894
Practice Address - Country:US
Practice Address - Phone:318-966-8370
Practice Address - Fax:318-232-1221
Is Sole Proprietor?:No
Enumeration Date:2016-12-20
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP09076363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics