Provider Demographics
NPI:1861034506
Name:BARTLEY, JO'EL (DNP, APRN, AGPCNP-BC)
Entity Type:Individual
Prefix:
First Name:JO'EL
Middle Name:
Last Name:BARTLEY
Suffix:
Gender:F
Credentials:DNP, APRN, AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 THAT ST
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-9723
Mailing Address - Country:US
Mailing Address - Phone:352-326-5281
Mailing Address - Fax:407-530-4910
Practice Address - Street 1:4700 THAT ST
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-9723
Practice Address - Country:US
Practice Address - Phone:352-326-5281
Practice Address - Fax:407-530-4910
Is Sole Proprietor?:No
Enumeration Date:2019-10-15
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11021009363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner