Provider Demographics
NPI:1801562335
Name:PERRY, JULIE MARIE (DNP, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:MARIE
Last Name:PERRY
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 CRABAPPLE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH WILKESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28659-8721
Mailing Address - Country:US
Mailing Address - Phone:336-981-7971
Mailing Address - Fax:
Practice Address - Street 1:5229 ROCK CREEK RD
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:NC
Practice Address - Zip Code:28635-9267
Practice Address - Country:US
Practice Address - Phone:336-696-2711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCPERR-GA62L363LF0000X
NC5014900363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily