Provider Demographics
NPI:1972116192
Name:WATKINS, JULIAN MAJOR SR (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MR
First Name:JULIAN
Middle Name:MAJOR
Last Name:WATKINS
Suffix:SR
Gender:M
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22480 KELLY RD
Mailing Address - Street 2:
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021-2623
Mailing Address - Country:US
Mailing Address - Phone:586-585-9119
Mailing Address - Fax:586-585-9947
Practice Address - Street 1:22480 KELLY RD
Practice Address - Street 2:
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021-2623
Practice Address - Country:US
Practice Address - Phone:586-585-9119
Practice Address - Fax:586-585-9947
Is Sole Proprietor?:No
Enumeration Date:2020-08-27
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704286664363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily