Provider Demographics
NPI:1821382631
Name:JULIAN, PAULA DENISE (APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:DENISE
Last Name:JULIAN
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8658 QUARTERS LAKE RD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-2172
Mailing Address - Country:US
Mailing Address - Phone:225-922-7700
Mailing Address - Fax:
Practice Address - Street 1:1937 S BURNSIDE AVE
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-4632
Practice Address - Country:US
Practice Address - Phone:225-647-8511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR864865363LF0000X
LAAP07281363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily