Provider Demographics
NPI:1457786527
Name:MOESCH, JULIE GRAHAM (MSN, WHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:GRAHAM
Last Name:MOESCH
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Gender:F
Credentials:MSN, WHNP-BC
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Mailing Address - Street 1:5353 REYNOLDS ST
Mailing Address - Street 2:STE 200
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-6015
Mailing Address - Country:US
Mailing Address - Phone:912-819-5771
Mailing Address - Fax:912-819-5772
Practice Address - Street 1:5353 REYNOLDS ST
Practice Address - Street 2:STE 200
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-6015
Practice Address - Country:US
Practice Address - Phone:912-819-5771
Practice Address - Fax:912-819-5772
Is Sole Proprietor?:No
Enumeration Date:2013-09-09
Last Update Date:2016-12-06
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Provider Licenses
StateLicense IDTaxonomies
GARN063326363LW0102X
SCAPN.2712RX363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health