Provider Demographics
NPI:1770017378
Name:DAVID, JULIA (CPNP, RN)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:DAVID
Suffix:
Gender:F
Credentials:CPNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 E UNIVERSITY AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-6821
Mailing Address - Country:US
Mailing Address - Phone:877-800-5722
Mailing Address - Fax:512-218-0515
Practice Address - Street 1:3950 N A W GRIMES BLVD STE N201
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-3540
Practice Address - Country:US
Practice Address - Phone:877-800-5722
Practice Address - Fax:512-218-0515
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP133787363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX918374OtherSTATE BOARD OF NURSING LICENSE-REGISTERED NURSE
TXAP133787OtherSTATE BOARD OF NURSING LICENSE - PEDIATRIC NURSE PRACTITIONER