Provider Demographics
NPI:1700961208
Name:HEMPHILL, JULIE BETH (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:BETH
Last Name:HEMPHILL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MISS
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:MORRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1657 LAKE BALDWIN LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32814-6722
Mailing Address - Country:US
Mailing Address - Phone:321-439-3933
Mailing Address - Fax:407-303-2332
Practice Address - Street 1:70 W GORE ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1124
Practice Address - Country:US
Practice Address - Phone:407-426-8484
Practice Address - Fax:407-426-8575
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9194866363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL111482600Medicaid
FLAI650WMedicare PIN