Provider Demographics
NPI:1427770429
Name:ROYALL, JULIA ANN KOKES (MSN, APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:ANN KOKES
Last Name:ROYALL
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:ANN
Other - Last Name:KOKES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN-BC
Mailing Address - Street 1:1233 EASTMEADOW DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-6037
Mailing Address - Country:US
Mailing Address - Phone:970-371-0881
Mailing Address - Fax:
Practice Address - Street 1:2320 W COLORADO AVE STE 129
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904-3355
Practice Address - Country:US
Practice Address - Phone:719-412-0583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0997991363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily