Healthcare Provider Details

I. General information

NPI: 1982263836
Provider Name (Legal Business Name): CHRISTINE ELENA JULIEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2019
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3710 HIGHWAY 17
MURRELLS INLET SC
29576-5005
US

IV. Provider business mailing address

10317 OCEAN HWY
PAWLEYS ISLAND SC
29585-6520
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax:
Mailing address:
  • Phone: 866-389-2727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number22828
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: