Healthcare Provider Details

I. General information

NPI: 1912069634
Provider Name (Legal Business Name): JULIE L HANSON WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE L BIGELOW WHNP

II. Dates (important events)

Enumeration Date: 12/16/2006
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 JEFFERSON ST
QUINCY IL
62301-5652
US

IV. Provider business mailing address

1915 JEFFERSON ST
QUINCY IL
62301-5652
US

V. Phone/Fax

Practice location:
  • Phone: 217-577-2992
  • Fax: 217-214-6785
Mailing address:
  • Phone: 217-577-2992
  • Fax: 217-214-6785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number277.005928
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041-289553
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number093067
License Number StateIA
# 4
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberF-093067
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: