Provider Demographics
NPI:1962168591
Name:BRIGGS, JULIA ANN (AGACNP-BC)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:ANN
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8371 FAIRLANE DR APT 7
Mailing Address - Street 2:
Mailing Address - City:BIRCH RUN
Mailing Address - State:MI
Mailing Address - Zip Code:48415-9775
Mailing Address - Country:US
Mailing Address - Phone:989-277-5680
Mailing Address - Fax:
Practice Address - Street 1:8371 FAIRLANE DR APT 7
Practice Address - Street 2:
Practice Address - City:BIRCH RUN
Practice Address - State:MI
Practice Address - Zip Code:48415-9775
Practice Address - Country:US
Practice Address - Phone:989-277-5680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704258666363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care