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NPI Code Detail

MEDICARE: JESSICA JULIAN FNP-BC

MEDICARE: JESSICA JULIAN FNP-BC
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
1363LF0000XFamily Nurse Practitioner222414LA

General Provider Information

NPI Number : 1699433227
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA JULIAN FNP-BC
Provider Business Mailing Address
First Line : 3353 UNIVERSITY PKWY
Second Line :
City : LEESVILLE
State : LA
Zip : 71446-9041
Country : US
Telephone Number : 337-392-3800
Fax Number :
Provider Business Practice Location Address
First Line : 3353 UNIVERSITY PKWY
Second Line :
City : LEESVILLE
State : LA
Zip : 71446-9041
Country : US
Telephone Number : 373-923-8003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2021
Last Update Date : 09/28/2023

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Directions to “ JESSICA JULIAN FNP-BC” Practice Location

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