Provider Demographics
NPI:1295068088
Name:JOHNSON, JULIA (RNCNP)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:RNCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4199 GATEWAY BLVD
Mailing Address - Street 2:SUITE 2500
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-8940
Mailing Address - Country:US
Mailing Address - Phone:812-471-0045
Mailing Address - Fax:812-476-2383
Practice Address - Street 1:4199 GATEWAY BLVD
Practice Address - Street 2:SUITE 2500
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-8940
Practice Address - Country:US
Practice Address - Phone:812-471-0045
Practice Address - Fax:812-476-2383
Is Sole Proprietor?:No
Enumeration Date:2009-09-10
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71000632A363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health