Healthcare Provider Details

I. General information

NPI: 1033314117
Provider Name (Legal Business Name): JULIE LYNN JONES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIE LYNN CIEMNOLONSKI MD

II. Dates (important events)

Enumeration Date: 06/18/2007
Last Update Date: 03/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WOMACK ARMY MEDICAL CTR DEPARTMENT OF INTERNAL MEDICINE
FORT BRAGG NC
28310-0001
US

IV. Provider business mailing address

WOMACK ARMY MEDICAL CTR DEPARTMENT OF INTERNAL MEDICINE
FORT BRAGG NC
28310-0001
US

V. Phone/Fax

Practice location:
  • Phone: 910-907-8981
  • Fax:
Mailing address:
  • Phone: 910-907-8981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2009-01052
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number2009-01052
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: