MEDICARE: JULIE YOUNGBLOOD 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	207P00000X	Emergency Medicine Physician	ARNP3320582	FL
2	207P00000X	Emergency Medicine Physician	RN280038	GA
3	363LF0000X	Family Nurse Practitioner	RN280038	GA
4	363L00000X	Nurse Practitioner	3320582	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Y052G	OTHER	FL	BCBSF GRP# 98513
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184626715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE YOUNGBLOOD ARNP

Provider Business Mailing Address
First Line	:	12007 PANAMA CITY BEACH PKWY
Second Line	:
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32407-2607
Country	:	US
Telephone Number	:	850-234-5151
Fax Number	:	850-234-3303

Provider Business Practice Location Address
First Line	:	12007 PANAMA CITY BEACH PKWY
Second Line	:
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32407
Country	:	US
Telephone Number	:	850-234-5151
Fax Number	:	850-234-3303

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

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	09/23/2024

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