Healthcare Provider Details

I. General information

NPI: 1033936711
Provider Name (Legal Business Name): JULIA JONES MSNL, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIA MEADE

II. Dates (important events)

Enumeration Date: 09/24/2024
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 MAIN ST
WATERVILLE ME
04901-6117
US

IV. Provider business mailing address

50 POOLER AVE
SKOWHEGAN ME
04976-5011
US

V. Phone/Fax

Practice location:
  • Phone: 207-877-3450
  • Fax:
Mailing address:
  • Phone: 207-702-5069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP261743
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN77616
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: