Provider Demographics
NPI:1023249190
Name:COFFEY, JULIE S (NP)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:S
Last Name:COFFEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 HASTINGS ST STE 200
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-5439
Mailing Address - Country:US
Mailing Address - Phone:781-772-5500
Mailing Address - Fax:781-772-5600
Practice Address - Street 1:70 HASTINGS ST STE 200
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-5439
Practice Address - Country:US
Practice Address - Phone:781-772-5500
Practice Address - Fax:781-772-5600
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN284395363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health