Julie Pettis, FNP | |
200 Industrial Blvd, Dublin, GA 31021-2981 | |
(478) 274-3865 | |
Not Available |
Full Name | Julie Pettis |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 200 Industrial Blvd, Dublin, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740728823 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LS0200X | Nurse Practitioner - School | RN190687 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | F04170449 (Georgia) | Primary |
Entity Name | Georgia Em-i Medical Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285682583 PECOS PAC ID: 0446157218 Enrollment ID: O20031218000621 |
Entity Name | Acs Primary Care Physicians - Southeast Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20040901000766 |
Entity Name | Erx Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760823082 PECOS PAC ID: 9335037571 Enrollment ID: O20130930000326 |
Mailing Address | Practice Location Address |
---|---|
Julie Pettis, FNP 3489 New Buckeye Rd, Wrightsville, GA 31096-3770 Ph: (478) 609-4269 | Julie Pettis, FNP 200 Industrial Blvd, Dublin, GA 31021-2981 Ph: (478) 274-3865 |
Mrs. Tabitha Hendrix Mullis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 206 Hospital Dr Ste A, Dublin, GA 31021 Phone: 478-272-3525 Fax: 478-272-3589 | |
Mrs. Tamara Kate Mccullars, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2400 Bellevue Rd Ste 23, Dublin, GA 31021 Phone: 478-272-8580 Fax: 478-275-0012 | |
Shannon Gay, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1006 Hillcrest Pkwy Ste 1, Dublin, GA 31021 Phone: 478-272-8140 | |
Mrs. Jacquelyn S Purser, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2121a Bellevue Rd, Dublin, GA 31021 Phone: 478-272-1190 Fax: 478-275-6509 | |
Charisse Holmes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2400 Bellevue Rd Ste 2, Dublin, GA 31021 Phone: 478-272-8580 | |
Demi Sharice Murray, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1826 Veterans Blvd, Dublin, GA 31021 Phone: 478-290-5984 | |
Dayana Ferguson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 102 Bowling Ln, Dublin, GA 31021 Phone: 478-272-0203 |