Provider Demographics
NPI:1619851458
Name:CUCCI, JULIA ROSE (RN MSN PMHNP-BC)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:ROSE
Last Name:CUCCI
Suffix:
Gender:F
Credentials:RN MSN PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 QUAKERBRIDGE RD STE 800
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-1256
Mailing Address - Country:US
Mailing Address - Phone:609-584-0888
Mailing Address - Fax:
Practice Address - Street 1:3535 QUAKERBRIDGE RD STE 800
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-1256
Practice Address - Country:US
Practice Address - Phone:609-584-0888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15368200363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health