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General NPI Number Information
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NPI Number | 1972877009
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Entity Type | Individual
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Provider Name | JULIE ANN WILL
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Gender | Female
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Dates
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Enumeration Date | 03/07/2012
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Last Update Date | 04/23/2019
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Provider Practice Location Address
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Address Line | 3023 HAMAKER CT STE 500
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City | FAIRFAX
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State | VA
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Zip | 22031-2241
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Country | US
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Telephone | 37-876-2788
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 37215
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City | BALTIMORE
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State | MD
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Zip | 21297-3215
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024169923
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN967520
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License Number State | DC
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