# JULIE RAE WETMORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1295955193
- **Gender:** F
- **Credential:** RNC, NNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 209-001827 | IL | — |
| 363LF0000X | Family Nurse Practitioner | 209001827 | IL | — |
| 363LN0000X | Neonatal Nurse Practitioner | 2002008638 | MO | — |
| 363LN0000X | Neonatal Nurse Practitioner | 209001827 | IL | Yes |
| 363LN0005X | Critical Care Neonatal Nurse Practitioner | 2002008638 | MO | — |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 10/16/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | $$$$$$$$$ | — | IL |