Provider Demographics
NPI:1922408400
Name:JULIEN, MARIE JOSEE (LPN)
Entity Type:Individual
Prefix:MISS
First Name:MARIE
Middle Name:JOSEE
Last Name:JULIEN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11827 LONG ST
Mailing Address - Street 2:PH
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11434-2139
Mailing Address - Country:US
Mailing Address - Phone:347-623-4270
Mailing Address - Fax:
Practice Address - Street 1:11827 LONG ST
Practice Address - Street 2:PH
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434-2139
Practice Address - Country:US
Practice Address - Phone:347-623-4270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-03
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY299394-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse