JULIE RAE WETMORE RNC NNP NPI 1295955193

NPI Information

NPI: 1295955193
Provider Name: JULIE RAE WETMORE, RNC, NNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
611 W PARK ST
URBANA, IL
ZIP 61801
Phone: (217) 383-3266
Get Directions

Julie Rae Wetmore, RNC, NNP is a family nurse practitioner in Urbana, IL. Julie Rae Wetmore, RNC, NNP NPI is 1295955193. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

611 W PARK ST
URBANA, IL
ZIP 61801-500
Phone: (217) 383-3266
Fax: (217) 383-3463

The NPI 1295955193 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 2/27/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		209-001827	ILLINOIS	No
2	363LN0000X	Nurse Practitioner	Neonatal	2002008638	MISSOURI	No
3	363LF0000X	Nurse Practitioner	Family	209001827	ILLINOIS	Yes
4	363LN0005X	Nurse Practitioner	Neonatal, Critical Care	2002008638	MISSOURI	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	$$$$$$$$$	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »