Healthcare Provider Details

I. General information

NPI: 1760125876
Provider Name (Legal Business Name): JULIE HANCOCK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2022
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 IRVING ST NW STE 1A50A
WASHINGTON DC
20010-3017
US

IV. Provider business mailing address

110 IRVING ST NW STE 1A50A
WASHINGTON DC
20010-3017
US

V. Phone/Fax

Practice location:
  • Phone: 120-287-7283
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD600005738
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: