Provider Demographics
NPI:1255011086
Name:SOUZA, JULIANA GAERTE (FNP-C)
Entity type:Individual
Prefix:
First Name:JULIANA
Middle Name:GAERTE
Last Name:SOUZA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:JULIANA
Other - Middle Name:DE JESUS
Other - Last Name:SOUZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:40 DUKE MEDICINE CIR # 3J
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-4000
Mailing Address - Country:US
Mailing Address - Phone:919-684-4656
Mailing Address - Fax:
Practice Address - Street 1:40 DUKE MEDICINE CIR # 3J
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-4699
Practice Address - Country:US
Practice Address - Phone:919-684-4656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-18
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5018487363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner