MEDICARE: JULIA JACQUES ARNP

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	363LP2300X	Primary Care Nurse Practitioner	ARNP9324388	FL
2	207R00000X	Internal Medicine Physician	ARNP9324388	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073022380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA JACQUES ARNP

Provider Business Mailing Address
First Line	:	11195 S JOG RD
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-1829
Country	:	US
Telephone Number	:	561-733-9690
Fax Number	:	561-303-2132

Provider Business Practice Location Address
First Line	:	11195 S JOG RD
Second Line	:	ST. 3
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-1829
Country	:	US
Telephone Number	:	561-733-9690
Fax Number	:	561-303-2132

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

Provider Enumeration Date	:	09/29/2017
Last Update Date	:	12/26/2025

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