Provider Demographics
NPI:1972235372
Name:JULES, NATACHA ANNE (APRN)
Entity Type:Individual
Prefix:MS
First Name:NATACHA
Middle Name:ANNE
Last Name:JULES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MRS
Other - First Name:NATACHA
Other - Middle Name:ANNE
Other - Last Name:JOSEPH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3161 FARLAND DR
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-4403
Mailing Address - Country:US
Mailing Address - Phone:954-303-6281
Mailing Address - Fax:
Practice Address - Street 1:3161 FARLAND DR
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-4403
Practice Address - Country:US
Practice Address - Phone:954-303-6281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-26
Last Update Date:2022-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11014071363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily