Healthcare Provider Details

I. General information

NPI: 1831062934
Provider Name (Legal Business Name): JULIA AL-HUSSAINI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2025
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 CABARRUS AVE E
CONCORD NC
28025-3699
US

IV. Provider business mailing address

299 LAKE MIST DR
MOORESVILLE NC
28117-3515
US

V. Phone/Fax

Practice location:
  • Phone: 888-849-7379
  • Fax: 855-857-7333
Mailing address:
  • Phone: 704-881-3773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5023482
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: