Provider Demographics
NPI:1801078795
Name:DYKES, JULI (RN)
Entity type:Individual
Prefix:
First Name:JULI
Middle Name:
Last Name:DYKES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JULI
Other - Middle Name:
Other - Last Name:PAYNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3625 VINYARD WAY
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30044-5564
Mailing Address - Country:US
Mailing Address - Phone:678-698-0308
Mailing Address - Fax:
Practice Address - Street 1:3625 VINYARD WAY
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30044-5564
Practice Address - Country:US
Practice Address - Phone:678-698-0308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN135164163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse