Provider Demographics
NPI:1114732682
Name:STEWART, JULIA CHILDRESS (DNP, FNP-BC)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:CHILDRESS
Last Name:STEWART
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:LEIGH
Other - Last Name:CHILDRESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1629 BIRDS NEST RD
Mailing Address - Street 2:
Mailing Address - City:CHURCH ROAD
Mailing Address - State:VA
Mailing Address - Zip Code:23833-3101
Mailing Address - Country:US
Mailing Address - Phone:804-892-3685
Mailing Address - Fax:
Practice Address - Street 1:1629 BIRDS NEST RD
Practice Address - Street 2:
Practice Address - City:CHURCH ROAD
Practice Address - State:VA
Practice Address - Zip Code:23833-3101
Practice Address - Country:US
Practice Address - Phone:804-892-3685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024190703363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily