Healthcare Provider Details

I. General information

NPI: 1972125334
Provider Name (Legal Business Name): JULIE CAPERTON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2020
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1363 CLIFTON RD NE
ATLANTA GA
30322-1013
US

IV. Provider business mailing address

897 N HIGHLAND AVE NE APT A13
ATLANTA GA
30306-4564
US

V. Phone/Fax

Practice location:
  • Phone: 713-410-1940
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN294344
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: