Healthcare Provider Details

I. General information

NPI: 1851808232
Provider Name (Legal Business Name): JULIE RUTH GARNETT FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2018
Last Update Date: 01/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

851 STATLER BLVD
STAUNTON VA
24401-4894
US

IV. Provider business mailing address

PO BOX 388
FISHERSVILLE VA
22939-0388
US

V. Phone/Fax

Practice location:
  • Phone: 540-245-7470
  • Fax: 540-245-7471
Mailing address:
  • Phone: 540-932-5162
  • Fax: 540-932-5875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024175651
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: