Active NPI
Julie Borom Wiggins, DNP, PNP, PMHS
- Pediatric Nurse Practitioner
- Daphne, AL
National Provider Identifier
1265875066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1-076812
- Practice address
- 28150 N Main St
Daphne, AL 36526-7038 - Phone
- (251) 402-5591
- NPI assigned
- Apr 10, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1-076812 | AL | Primary |
Addresses
Primary practice location
28150 N Main St
Daphne, AL 36526-7038
Mailing address
26420 Kensington PL Ste a
Daphne, AL 36526-5123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-076812 | AL | MD | Pediatric Nurse Practitioner |
Interoperability endpoints
- easternshoredevelopment.juliewiggins@126230.advancedmd-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769472000000",
"number": "1265875066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26420 KENSINGTON PL STE A",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365265123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28150 N MAIN ST",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365267038",
"telephone_number": "251-402-5591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGGINS",
"first_name": "JULIE",
"middle_name": "BOROM",
"name_prefix": "Prof.",
"credential": "DNP, PNP, PMHS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-10",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AL",
"license": "1-076812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.