Provider Demographics
NPI:1467152991
Name:DOOLEY, JULIE AMANDA (APRN)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:AMANDA
Last Name:DOOLEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1528 S TUTTLE AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2607
Mailing Address - Country:US
Mailing Address - Phone:941-529-7770
Mailing Address - Fax:941-529-7775
Practice Address - Street 1:1528 S TUTTLE AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2607
Practice Address - Country:US
Practice Address - Phone:941-529-7770
Practice Address - Fax:941-529-7775
Is Sole Proprietor?:No
Enumeration Date:2023-03-03
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11024983363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health