Individual
JULIANA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401-6713
(609) 345-4000
Mailing address
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401-6713
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR16536700
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15083200
NJ
Other
Enumeration date
04/15/2024
Last updated
06/17/2024
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