Provider Demographics
NPI:1831407808
Name:MENEFEE, JULIA MONIQUE
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:MONIQUE
Last Name:MENEFEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4917 RHODE ISLAND DR N
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32209-1104
Mailing Address - Country:US
Mailing Address - Phone:904-766-2281
Mailing Address - Fax:904-764-8363
Practice Address - Street 1:4917 RHODE ISLAND DR N
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32209-1104
Practice Address - Country:US
Practice Address - Phone:904-766-2281
Practice Address - Fax:904-764-8363
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide