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NPI Code Detail

MEDICARE: MS. JULIE DRAKE OGLESBY NP

MEDICARE: MS. JULIE DRAKE OGLESBY NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner0024167495VA

General Provider Information

NPI Number : 1568651768
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JULIE DRAKE OGLESBY NP
Provider Business Mailing Address
First Line : 15412 MILTON HALL PL
Second Line :
City : MANASSAS
State : VA
Zip : 20112-5487
Country : US
Telephone Number : 703-408-2026
Fax Number :
Provider Business Practice Location Address
First Line : 510 BLACKWELL RD
Second Line :
City : WARRENTON
State : VA
Zip : 20186-2600
Country : US
Telephone Number : 540-341-4207
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2007
Last Update Date : 05/15/2024

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