Healthcare Provider Details

I. General information

NPI: 1285811505
Provider Name (Legal Business Name): JULIE L AKINS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2008
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

775 POLE LINE RD W SUITE 203
TWIN FALLS ID
83301-5814
US

IV. Provider business mailing address

419 SHOUP AVE W
TWIN FALLS ID
83301-5028
US

V. Phone/Fax

Practice location:
  • Phone: 208-814-8300
  • Fax: 208-733-8970
Mailing address:
  • Phone: 208-991-9323
  • Fax: 208-595-5522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberN21339
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP859A
License Number StateID
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNP859A
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: