Healthcare Provider Details

I. General information

NPI: 1548785363
Provider Name (Legal Business Name): JULIANA RAMKUMAR ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2017
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2402 WAYNE MEMORIAL DR
GOLDSBORO NC
27534-1728
US

IV. Provider business mailing address

2511 OLD CORNWALLIS RD STE 200
DURHAM NC
27713-1869
US

V. Phone/Fax

Practice location:
  • Phone: 919-735-1387
  • Fax: 910-853-6022
Mailing address:
  • Phone: 919-932-5700
  • Fax: 919-933-6881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number5009787
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number5009787
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: