Provider Demographics
NPI:1700471794
Name:VAN NESS, JULIE L (RN, BSN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:L
Last Name:VAN NESS
Suffix:
Gender:F
Credentials:RN, BSN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 PUMPKIN FARM CT
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:08801-4000
Mailing Address - Country:US
Mailing Address - Phone:973-453-5681
Mailing Address - Fax:908-850-6864
Practice Address - Street 1:16 ELM ST
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-4116
Practice Address - Country:US
Practice Address - Phone:973-453-5681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-02
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR13590200163W00000X
NJ26NJ01209100363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse