Provider Demographics
NPI:1467152991
Name:DOOLEY, JULIE AMANDA (APRN)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:AMANDA
Last Name:DOOLEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 RIDGEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-3019
Mailing Address - Country:US
Mailing Address - Phone:941-961-4641
Mailing Address - Fax:
Practice Address - Street 1:1250 S TAMIAMI TRL, SARASOTA, FL 34239, UNITED STATES
Practice Address - Street 2:STE 202
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3423
Practice Address - Country:US
Practice Address - Phone:941-954-9990
Practice Address - Fax:941-954-9995
Is Sole Proprietor?:No
Enumeration Date:2023-03-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11024983363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health