Provider Demographics
NPI:1386339729
Name:PATTERSON, JULIA B (ARNP)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:B
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3516 OLA ST FL USA
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32205-7715
Mailing Address - Country:US
Mailing Address - Phone:904-382-0321
Mailing Address - Fax:
Practice Address - Street 1:3636 UNIVERSITY BLVD S STE A8
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-4210
Practice Address - Country:US
Practice Address - Phone:904-800-9534
Practice Address - Fax:904-580-9400
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL11024892363LP2300X, 363LX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty