Provider Demographics
NPI:1023699311
Name:FERRELL, JULIA I
Entity type:Individual
Prefix:MS
First Name:JULIA
Middle Name:I
Last Name:FERRELL
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:JULIA
Other - Middle Name:I
Other - Last Name:FERRELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSN, APRN
Mailing Address - Street 1:425 N LEE ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32204-1127
Mailing Address - Country:US
Mailing Address - Phone:904-427-1200
Mailing Address - Fax:
Practice Address - Street 1:425 N LEE ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32204-1127
Practice Address - Country:US
Practice Address - Phone:904-427-1200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-18
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9399717163W00000X
FLAPRN11022456363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse