Provider Demographics
NPI:1487735304
Name:WALDROP, JULEE (PNP)
Entity type:Individual
Prefix:
First Name:JULEE
Middle Name:
Last Name:WALDROP
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 N BAYOU ST
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36603-5827
Mailing Address - Country:US
Mailing Address - Phone:251-690-8847
Mailing Address - Fax:251-690-8859
Practice Address - Street 1:251 N BAYOU ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36603-5827
Practice Address - Country:US
Practice Address - Phone:251-690-8847
Practice Address - Fax:251-690-8859
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9311650363LP0200X, 363LF0000X
AL1-144015363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1063439065OtherNPI MAIN GROUP PAYEE NUMBER
AL011846OtherMAIN GROUP MEDICARE PAYEE NUMBER
AL630000013Medicaid
NC7000344,Medicaid
NC7000344,Medicaid