Provider Demographics
NPI:1265085641
Name:FRISBIE-KNUDSEN, JULIE (ARNP)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:FRISBIE-KNUDSEN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4703 NW 53RD AVE STE A2
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32653-3403
Mailing Address - Country:US
Mailing Address - Phone:352-290-2767
Mailing Address - Fax:
Practice Address - Street 1:4703 NW 53RD AVE STE A2
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32653-3403
Practice Address - Country:US
Practice Address - Phone:352-290-2767
Practice Address - Fax:352-290-0064
Is Sole Proprietor?:No
Enumeration Date:2019-07-24
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11002761363LA2200X, 363LG0600X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology