Healthcare Provider Details

I. General information

NPI: 1417312331
Provider Name (Legal Business Name): JULIA NELMS CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2015
Last Update Date: 12/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2215 DECATUR HWY SUITE 101
GARDENDALE AL
35071-2360
US

IV. Provider business mailing address

2215 DECATUR HWY SUITE 101
GARDENDALE AL
35071-2360
US

V. Phone/Fax

Practice location:
  • Phone: 205-502-5959
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-036847
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: