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: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 KILVERT ST
WARWICK RI
02886-1379
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 855-685-7363
  • Fax:
Mailing address:
  • Phone: 919-932-5700
  • Fax: 919-933-6881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number308287
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0024196299
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number10026182
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number500340534
License Number StateDC
# 5
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number5009787
License Number StateNC
# 6
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number16368
License Number StateCT
# 7
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5009787
License Number StateNC
# 8
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN0587
License Number StateRI
# 9
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberCNP261020
License Number StateME
# 10
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number116768-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: