Healthcare Provider Details

I. General information

NPI: 1366375438
Provider Name (Legal Business Name): JULI RENEE NAGASHIMA PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2413 LYNX RD
NEW MARKET TN
37820-3225
US

IV. Provider business mailing address

1903 WILLIAMS AVE
JEFFERSON CITY TN
37760-1550
US

V. Phone/Fax

Practice location:
  • Phone: 562-485-8585
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95040373
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: