MEDICARE: JULIA NGUYEN

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
1	363LF0000X	Family Nurse Practitioner	11044226	FL
2	363LF0000X	Family Nurse Practitioner	40543	TN

General Provider Information

NPI Number	:	1902792146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA NGUYEN

Provider Business Mailing Address
First Line	:	7507 PARK VILLAGE DR APT 1217
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-0299
Country	:	US
Telephone Number	:	901-608-0722
Fax Number	:

Provider Business Practice Location Address
First Line	:	3525 US HIGHWAY 17
Second Line	:
City	:	FLEMING ISLAND
State	:	FL
Zip	:	32003-7122
Country	:	US
Telephone Number	:	904-604-6407
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2025
Last Update Date	:	01/07/2026

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Directions to “ JULIA NGUYEN ” Practice Location

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