Healthcare Provider Details

I. General information

NPI: 1386339729
Provider Name (Legal Business Name): JULIA B. PATTERSON ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2023
Last Update Date: 04/11/2023
Certification Date: 04/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3636 UNIVERSITY BLVD S STE A8
JACKSONVILLE FL
32216-4210
US

IV. Provider business mailing address

3516 OLA ST FL USA
JACKSONVILLE FL
32205-7715
US

V. Phone/Fax

Practice location:
  • Phone: 904-800-9534
  • Fax: 904-580-9400
Mailing address:
  • Phone: 904-382-0321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number11024892
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License Number11024892
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: