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Individual

MS. JULIA GALLANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
128 STATE ST STE 3, AUGUSTA, ME 04330-5630
(828) 505-6636
Mailing address
90 SOUTHSIDE AVE STE 350, ASHEVILLE, NC 28801-4184

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5007510
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
55392
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP211652
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1619037454
NC
Enumeration date
12/11/2006
Last updated
02/27/2023
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