Provider Demographics
NPI:1316667785
Name:JOSE, JULIN (RN)
Entity type:Individual
Prefix:MRS
First Name:JULIN
Middle Name:
Last Name:JOSE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14919 41ST AVE SE UNIT G4
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98012-6296
Mailing Address - Country:US
Mailing Address - Phone:949-609-9678
Mailing Address - Fax:
Practice Address - Street 1:2520 MADISON ST
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-4868
Practice Address - Country:US
Practice Address - Phone:425-356-2123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN61277111163WR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0400XNursing Service ProvidersRegistered NurseRehabilitation