Provider Demographics
NPI:1952651952
Name:BURNETT, JULIA GERTHA (CPNP-PC)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:GERTHA
Last Name:BURNETT
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 AVENUE F
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35218-1638
Mailing Address - Country:US
Mailing Address - Phone:205-785-7337
Mailing Address - Fax:
Practice Address - Street 1:2010 AVENUE F
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35218-1638
Practice Address - Country:US
Practice Address - Phone:205-785-7337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-17
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-044256363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics