Provider Demographics
NPI:1821978909
Name:ULIANO, JULIE LYNNE (PA)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:LYNNE
Last Name:ULIANO
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:LYNNE
Other - Last Name:MALACUSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:302 WESLEY ST STE 3
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-1741
Mailing Address - Country:US
Mailing Address - Phone:423-282-0561
Mailing Address - Fax:
Practice Address - Street 1:302 WESLEY ST STE 3
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-1741
Practice Address - Country:US
Practice Address - Phone:423-282-0561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6251363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant