Healthcare Provider Details

I. General information

NPI: 1225962624
Provider Name (Legal Business Name): JULIANNE FERRIS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 LEROY ST
POTSDAM NY
13676-1799
US

IV. Provider business mailing address

50 LEROY STREET
POTSDAM NY
13676
US

V. Phone/Fax

Practice location:
  • Phone: 315-265-3300
  • Fax:
Mailing address:
  • Phone: 315-265-3300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number359964
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: