Individual
JULIE M BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1318 N MAIN ST # 1373, SUMMERVILLE, SC 29483-7308
(843) 491-0509
(843) 829-9502
Mailing address
1318 N MAIN ST # 1373, SUMMERVILLE, SC 29483-7308
(843) 491-0509
(843) 829-9502
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN26749
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2373378
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2373378
APRN
MA
Enumeration date
07/26/2016
Last updated
12/05/2025
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