Healthcare Provider Details

I. General information

NPI: 1023412376
Provider Name (Legal Business Name): JULIA STOCKTON PHILIPS CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIA STOCKTON STEELE CRNP

II. Dates (important events)

Enumeration Date: 10/15/2014
Last Update Date: 04/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 PINE ST
NORRISTOWN PA
19401-3040
US

IV. Provider business mailing address

201 N 8TH ST UNIT 910
PHILADELPHIA PA
19106-1515
US

V. Phone/Fax

Practice location:
  • Phone: 410-543-1957
  • Fax:
Mailing address:
  • Phone: 703-216-5819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN643619
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: