JULIA LEE BORNMANN (NPI# 1275957466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275957466 |
| Entity Type | Individual |
| Full Name | JULIA LEE BORNMANN |
| Other Name | JULIA L. GRAYDON |
| Credential | APN |
| Practice Address |
1401 Marlton Pike E Ste 26 Cherry Hill NJ 08034-2207 |
| Practice Telephone | 8564799400 |
| Practice Fax Number | 8562819913 |
| Mailing Telephone | 8564799400 |
| Mailing Fax Number | 8562819913 |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2019-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00482700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | GROUP MEDICARE | 381020 | 01 |
| NJ | GROUP MEDICAID | 0455091 | 01 |
| Street Address |
1401 MARLTON PIKE E STE 26 |
| City | CHERRY HILL |
| State | NJ |
| Zip Code | 08034-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245296169 | Lisa Ann Dructor | Internal Medicine | 1401 Marlton Pike E Ste 26, Cherry Hill, NJ 08034-2207 | 2006-04-21 |
| 1952826612 | Beth Anne Addis | Nurse Practitioner | 1401 Marlton Pike E Ste 26, Cherry Hill, NJ 08034-2207 | 2017-08-03 |
| 1477595064 | Mark J Todt | Internal Medicine | 1401 Marlton Pike E Ste 26, Cherry Hill, NJ 08034-2207 | 2006-06-11 |
| 1558302349 | Keith Richard Damerau | Internal Medicine | 1401 Marlton Pike E Ste 26, Cherry Hill, NJ 08034-2207 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821606054 | Glickman Psychological Services, LLC | Psychologist | 80 Barclay Center, Suite 4, Cherry Hill, NJ 08034 | 2020-07-14 |
| 1215455225 | Arc of Camden County Millhurst Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 141 Hayes Mill Road, Apt 218, Cherry Hill, NJ 08034 | 2017-08-30 |
| 1144748120 | Arc of Camden County Chanticleer Drive Supported Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 712 Chanticleer Drive, Cherry Hill, NJ 08034 | 2017-08-30 |
| 1124558689 | 1 Choice Home Health Care, LLC | Home Health | 1409 E. Highway 70, Barclay Pavilion, Suite 207w, Cherry Hill, NJ 08034 | 2017-06-18 |
| 1205362621 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 Wayland Rd, Cherry Hill, NJ 08034 | 2017-05-04 |
| 1598291940 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Brookdale Dr, Cherry Hill, NJ 08034 | 2017-05-04 |
| 1861928285 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 302 Portsmouth Rd, Cherry Hill, NJ 08034 | 2017-05-04 |
| 1265967954 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8 Farmhouse Ln, Maple Shade, NJ 08034 | 2017-05-01 |
| 1023543709 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 407 Cranford Rd, Cherry Hill, NJ 08034 | 2017-05-01 |
| 1588199269 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Colgate Drive, Cherry Hill, NJ 08034 | 2017-05-01 |
| Find all providers in zip 08034 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417259797 | Andrea M Aquilino | Nurse Practitioner | 2 Esterbrook Ln, Cherry Hill, NJ 08003-4002 | 2010-11-19 |
| 1679882740 | Hermina Yvonne Waters | Nurse Practitioner | 1017 Abington Rd, Cherry Hill, NJ 08034-3903 | 2010-10-06 |
| 1619079761 | Fran Rosenfeld | Nurse Practitioner | 100 Gainsboro Rd, Cherry Hill, NJ 08003-1521 | 2006-09-01 |
| 1508897240 | Juvy M Montecalvo-acosta | Nurse Practitioner | 39 Brace Rd, Cherry Hill, NJ 08034-2624 | 2006-07-05 |
| 1902884794 | Linda A Hurd | Nurse Practitioner | 1400 Route 70 East, Cherry Hill, NJ 08034-2240 | 2006-01-03 |
| 1912988957 | Rebecca Hilgen Bryan | Nurse Practitioner | 511 Kings Hwy N, Cherry Hill, NJ 08034-1503 | 2005-11-08 |
| 1740802461 | Laura Lyn Barrett | Nurse Practitioner | 27 Covered Bridge Rd, Cherry Hill, NJ 08034-2945 | 2020-05-15 |
| 1417445339 | Gina Marie Mariani | Nurse Practitioner | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2018-04-26 |
| 1487195525 | Josemari Lazaro | Nurse Practitioner | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2017-03-08 |
| 1174981187 | Adrianne Ortega | Nurse Practitioner | 101 Barclay Pavilion W, Cherry Hill, NJ 08034-2139 | 2016-02-04 |
| Find all providers in CHERRY HILL | ||||
| City | CHERRY HILL |
| Zip Code | 08034 |
Please comment or provide details below to improve the information on JULIA LEE BORNMANN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.