Individual
JULIE ANNE AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1041 JOHN SIMS PKWY E, NICEVILLE, FL 32578-2712
(505) 999-0974
Mailing address
1041 JOHN SIMS PKWY E, NICEVILLE, FL 32578-2712
(505) 999-0974
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
9113396
FL
2084P0800X
Psychiatry Physician
9113396
FL
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
05/08/2024
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