Healthcare Provider Details

I. General information

NPI: 1508648213
Provider Name (Legal Business Name): JULAINE NEWELL DNP PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2023
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11002 VEIRS MILL RD
WHEATON MD
20902-2574
US

IV. Provider business mailing address

5721 SUITLAND RD
SUITLAND MD
20746-3366
US

V. Phone/Fax

Practice location:
  • Phone: 301-383-7399
  • Fax: 240-337-2336
Mailing address:
  • Phone: 609-351-8020
  • Fax: 240-337-2336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR234849
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: