Provider Demographics
NPI:1649927757
Name:ROSS THOMPSON, JULIANA GAIL (PA-C, ATC)
Entity type:Individual
Prefix:
First Name:JULIANA
Middle Name:GAIL
Last Name:ROSS THOMPSON
Suffix:
Gender:
Credentials:PA-C, ATC
Other - Prefix:
Other - First Name:JULIANA
Other - Middle Name:GAIL
Other - Last Name:ROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2516 ASPEN COVE CIR
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-2432
Mailing Address - Country:US
Mailing Address - Phone:205-789-9988
Mailing Address - Fax:
Practice Address - Street 1:111 SUNNYVIEW LN
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-3164
Practice Address - Country:US
Practice Address - Phone:406-752-7900
Practice Address - Fax:406-257-0253
Is Sole Proprietor?:No
Enumeration Date:2022-03-08
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1942363A00000X
MTMED-PAC-LIC-130439363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant