Provider Demographics
NPI:1669356309
Name:SKINNER, JULIA (MS, RD, LDN)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:SKINNER
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:953 DORCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46062-9040
Mailing Address - Country:US
Mailing Address - Phone:317-385-0926
Mailing Address - Fax:
Practice Address - Street 1:3607 SW 106TH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-9177
Practice Address - Country:US
Practice Address - Phone:317-385-0926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered