Provider Demographics
NPI:1386928539
Name:KULP, JULIE LYNN (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:LYNN
Last Name:KULP
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:LYNN
Other - Last Name:LOFTUS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NURSE PRACTITIONER
Mailing Address - Street 1:NORTHERN VIRGINIA FAMILY MEDICINE
Mailing Address - Street 2:9001 DIGGES RD #105
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110
Mailing Address - Country:US
Mailing Address - Phone:724-662-5576
Mailing Address - Fax:
Practice Address - Street 1:NORTHERN VIRGINIA FAMILY MEDICINE
Practice Address - Street 2:9001 DIGGES RD #105
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110
Practice Address - Country:US
Practice Address - Phone:724-662-5576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-06
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024169692363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily