Healthcare Provider Details

I. General information

NPI: 1306758883
Provider Name (Legal Business Name): JULIE RENEE FOX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 MONUMENT RD STE 294
YORK PA
17403-5049
US

IV. Provider business mailing address

6658 DAVIDSBURG RD
EAST BERLIN PA
17316-9136
US

V. Phone/Fax

Practice location:
  • Phone: 717-741-9229
  • Fax:
Mailing address:
  • Phone: 717-574-7143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAG09260071
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: