MEDICARE: JULIA PATSELL FNP

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	363L00000X	Nurse Practitioner	0017138495	VA

General Provider Information

NPI Number	:	1932159647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA PATSELL FNP

Provider Business Mailing Address
First Line	:	109 DEER RUN RD
Second Line	:
City	:	DANVILLE
State	:	VA
Zip	:	24540-2863
Country	:	US
Telephone Number	:	434-791-0306
Fax Number	:	434-791-0310

Provider Business Practice Location Address
First Line	:	700 24TH ST
Second Line	:
City	:	FORT GREGG ADAMS
State	:	VA
Zip	:	23801-1716
Country	:	US
Telephone Number	:	48-734-9125
Fax Number	:	434-791-0310

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

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	03/19/2024

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