Provider Demographics
NPI:1114582228
Name:MACLAY, JULIA MARIE (CRNP)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:MARIE
Last Name:MACLAY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 MARSHLAND LN
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650-4776
Mailing Address - Country:US
Mailing Address - Phone:251-753-4160
Mailing Address - Fax:
Practice Address - Street 1:1305 S SUBER RD
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-0944
Practice Address - Country:US
Practice Address - Phone:864-989-4609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-03
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-130863163W00000X, 363LF0000X
SC30501363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse