IndividualActive
Julie Wilson, PH.D.
NPI 1497789069 · Pediatric Nurse Practitioner · Pawtucket, RI
Provider details
- NPI number
- 1497789069
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- No
- License
- PS00582 (RI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Behavioral Health & Social Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
111 Brewster St
Pawtucket, RI 02860-4474
Phone: (401) 729-6200
Fax: (401) 729-6203
Approximate (ZIP-level) locationGet directions
Mailing address
Memorial Hospital of Rhode Island
Pawtucket, RI 02860
Additional practice locations (1)
- Memorial Hospital of Rhode Island111 Brewster StreetPawtucket, RI 02860Phone: (401) 729-6200Fax: (401) 729-6203
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2020-01-27
- Certified
- 2020-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.