Provider Demographics
NPI:1942280524
Name:NORTH, JULIA JONES (PA-C)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:JONES
Last Name:NORTH
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1509 CAGUA DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-6609
Mailing Address - Country:US
Mailing Address - Phone:505-255-2923
Mailing Address - Fax:505-272-5317
Practice Address - Street 1:1127 UNIVERSITY BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-1740
Practice Address - Country:US
Practice Address - Phone:505-272-5283
Practice Address - Fax:505-272-5317
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-19
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NM99-PA20363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant