# PROF. JULIE M WILSON

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

## Provider details

- **NPI number:** 1497789069
- **Gender:** F
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | PS00582 | RI | — |
| 363L00000X | Nurse Practitioner | PS00582 | RI | — |
| 363LP0200X | Pediatric Nurse Practitioner | APRN00315 | RI | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 01/27/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 25670-4 | BLUE CROSS/BLUE SHIELD | RI |
| 01 | — | 410199 | BLUECHIP | RI |