Provider Demographics
NPI:1184123242
Name:HUCKS, JULIA BATTEN (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:BATTEN
Last Name:HUCKS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:JULIA
Other - Middle Name:BATTEN
Other - Last Name:HAMILTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:3418 CASEY ST
Mailing Address - Street 2:
Mailing Address - City:LORIS
Mailing Address - State:SC
Mailing Address - Zip Code:29569-2904
Mailing Address - Country:US
Mailing Address - Phone:843-756-7885
Mailing Address - Fax:
Practice Address - Street 1:3418 CASEY ST
Practice Address - Street 2:
Practice Address - City:LORIS
Practice Address - State:SC
Practice Address - Zip Code:29569-2904
Practice Address - Country:US
Practice Address - Phone:843-756-7885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-05
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC183700363LF0000X
SC22557363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNP5937Medicaid