Provider Demographics
NPI:1801233291
Name:WILLIAMS, JULIE ELIZABETH (NP)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:ELIZABETH
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:ELIZABETH
Other - Last Name:LESLIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1800 ORLEANS ST
Mailing Address - Street 2:NEONATAL ICU BLOOMBERG 8
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-0010
Mailing Address - Country:US
Mailing Address - Phone:410-955-5255
Mailing Address - Fax:410-614-8834
Practice Address - Street 1:1800 ORLEANS ST
Practice Address - Street 2:NEONATAL ICU BLOOMBERG 8
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0010
Practice Address - Country:US
Practice Address - Phone:410-955-5255
Practice Address - Fax:410-614-8834
Is Sole Proprietor?:No
Enumeration Date:2013-05-27
Last Update Date:2013-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR145916363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal