Provider Demographics
NPI:1972160521
Name:HASSETT, JULIE LYNN (APRN)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:LYNN
Last Name:HASSETT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:L
Other - Last Name:SCANLON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:6339 JARVIS RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34241-5612
Mailing Address - Country:US
Mailing Address - Phone:941-993-4406
Mailing Address - Fax:417-272-5234
Practice Address - Street 1:6339 JARVIS RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34241-5612
Practice Address - Country:US
Practice Address - Phone:941-993-4406
Practice Address - Fax:417-272-5234
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-20
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11002764163WC2100X, 163WW0000X, 363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No163WC2100XNursing Service ProvidersRegistered NurseContinence CareGroup - Single Specialty
No163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Single Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty