Healthcare Provider Details

I. General information

NPI: 1295449122
Provider Name (Legal Business Name): JULIA BERNSTEIN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIA WOOD

II. Dates (important events)

Enumeration Date: 01/05/2023
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114A MEMORIAL DR
JACKSONVILLE NC
28546-6328
US

IV. Provider business mailing address

2340 SPRING FOREST RD
RALEIGH NC
27615-7528
US

V. Phone/Fax

Practice location:
  • Phone: 910-353-0700
  • Fax: 910-353-5305
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5017415
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11042071
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number31003
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: