Healthcare Provider Details
I. General information
NPI: 1124070297
Provider Name (Legal Business Name): JULIA LYNN GAMBLE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/17/2006
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1600 SW ARCHER RD
GAINESVILLE FL
32610-3003
US
IV. Provider business mailing address
5 JULIA LN
PEPPERELL MA
01463-1482
US
V. Phone/Fax
- Phone: 352-273-8610
- Fax: 352-273-8612
- Phone: 781-275-9175
- Fax: 781-275-9829
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WP2201X |
| Taxonomy | Ambulatory Care Registered Nurse |
| License Number | 262461 |
| License Number State | MA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | APRN9374205 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: