Provider Demographics
NPI:1962479493
Name:BOWLER, JULIET GALE (ARNP)
Entity Type:Individual
Prefix:MS
First Name:JULIET
Middle Name:GALE
Last Name:BOWLER
Suffix:
Gender:F
Credentials:ARNP
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Mailing Address - Street 1:PO BOX 44008
Mailing Address - Street 2:UFJP PROVIDER ENROLLMENT
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32231-4008
Mailing Address - Country:US
Mailing Address - Phone:904-244-3199
Mailing Address - Fax:904-244-3425
Practice Address - Street 1:8274 BAYBERRY RD
Practice Address - Street 2:UFJP BAYMEADOWS FAMILY PRACTICE
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-7470
Practice Address - Country:US
Practice Address - Phone:907-737-3800
Practice Address - Fax:904-737-2402
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARN2806152363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP03878Medicare UPIN
FLE3915ZMedicare PIN