Healthcare Provider Details

I. General information

NPI: 1427770429
Provider Name (Legal Business Name): JULIA ANN KOKES ROYALL MSN, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIA ANN KOKES BSN, RN-BC

II. Dates (important events)

Enumeration Date: 09/15/2022
Last Update Date: 09/15/2022
Certification Date: 09/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2320 W COLORADO AVE STE 129
COLORADO SPRINGS CO
80904-3355
US

IV. Provider business mailing address

1233 EASTMEADOW DR
COLORADO SPRINGS CO
80906-6037
US

V. Phone/Fax

Practice location:
  • Phone: 719-412-0583
  • Fax:
Mailing address:
  • Phone: 970-371-0881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0997991
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: