Provider Demographics
NPI:1942208111
Name:SAPP, JULIE J (NP-C)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:J
Last Name:SAPP
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:HAWKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31036-4818
Mailing Address - Country:US
Mailing Address - Phone:478-300-7107
Mailing Address - Fax:478-783-3961
Practice Address - Street 1:259 BROAD ST
Practice Address - Street 2:
Practice Address - City:HAWKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:31036-4818
Practice Address - Country:US
Practice Address - Phone:478-300-7107
Practice Address - Fax:478-783-3961
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN085794363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000838296GMedicaid
GA000838296GMedicaid