NPI 1821609488 · live from the CMS NPI Registry
Julianne Legierse, CPNP-PC
Nurse Practitioner, Pediatrics in Minot Afb, ND. National Provider Identifier 1821609488, active.
NPI record
| NPI | 1821609488 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 10 Missle Ave 5th Medical Group, Minot Afb, ND 58405 |
| Practice phone | 701-723-5633 |
| Mailing address | 10 Missile Ave, Minot Afb, ND 58705 |
| Enumerated | August 16, 2020 |
| Last updated | June 25, 2023 |
| Sole proprietor | No |
| Other names | Julianne Clemons |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 0024179913 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.