Provider Demographics
NPI:1417797200
Name:DINSMORE, JULIANNE N (APN)
Entity type:Individual
Prefix:
First Name:JULIANNE
Middle Name:N
Last Name:DINSMORE
Suffix:
Gender:
Credentials:APN
Other - Prefix:
Other - First Name:JULIANNE
Other - Middle Name:
Other - Last Name:PEED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:401 ROUTE 73 N BLDG 10, SUITE 320
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053
Mailing Address - Country:US
Mailing Address - Phone:856-872-7055
Mailing Address - Fax:
Practice Address - Street 1:525 ROUTE 73 S STE 102
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-9643
Practice Address - Country:US
Practice Address - Phone:856-596-3434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-29
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP029734363L00000X, 363LP0200X
NJ26NJ15264400363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner