Provider Demographics
NPI:1285608596
Name:DARGIS, JULIE ANN (FNP-C)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:ANN
Last Name:DARGIS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 TULANE AVE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-7462
Mailing Address - Country:US
Mailing Address - Phone:504-821-2601
Mailing Address - Fax:504-267-3014
Practice Address - Street 1:2601 TULANE AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-7462
Practice Address - Country:US
Practice Address - Phone:504-821-2601
Practice Address - Fax:504-267-3014
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN055450AP03290363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1027022Medicaid
LA3B967F669Medicare PIN
LA3A552F669Medicare PIN
LA3A552Medicare PIN
LA3B967Medicare PIN