Wilson, Julie M

Wilson, Julie M is an individual health care provider with primary practice located at 111 Brewster St , Pawtucket RI 02860-4474. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Wilson, Julie M can be contacted via phone (401) 729-6200.

Contact Information

Primary practice address
111 Brewster St Pawtucket RI 02860-4474
Phone: (401) 729-6200
Fax: (401) 729-6203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS00582 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X PS00582 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN00315 Rhode Island

Profile Details

NPI number 1497789069
LBN Legal business name Wilson, Julie M
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jan 27th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497789069 NPPES
Rhode Island Other 25670-4 BLUE CROSS/BLUE SHIELD
Rhode Island Other 410199 BLUE CROSS/BLUE SHIELD

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