Provider Demographics
NPI:1811440837
Name:CLARKSON, JULIA (ARNP)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:
Last Name:CLARKSON
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 1:2015 VELA NORTE CIR
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32233-4533
Mailing Address - Country:US
Mailing Address - Phone:904-329-2774
Mailing Address - Fax:
Practice Address - Street 1:4727 SUNBEAM RD
Practice Address - Street 2:#102
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-6187
Practice Address - Country:US
Practice Address - Phone:904-400-7772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9228323363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily