Provider Demographics
NPI:1326750787
Name:WOOD, JULIE
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:WOOD
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12287 HIGHWAY 231 431 N
Mailing Address - Street 2:
Mailing Address - City:MERIDIANVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35759-1205
Mailing Address - Country:US
Mailing Address - Phone:256-828-1154
Mailing Address - Fax:256-828-1194
Practice Address - Street 1:12287 HIGHWAY 231 431 N
Practice Address - Street 2:
Practice Address - City:MERIDIANVILLE
Practice Address - State:AL
Practice Address - Zip Code:35759-1205
Practice Address - Country:US
Practice Address - Phone:256-828-1154
Practice Address - Fax:256-828-1194
Is Sole Proprietor?:No
Enumeration Date:2022-12-16
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-113647163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse