Individual
MS. JULIE ANN CLYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
225 N 1ST ST, LEESBURG, FL 34748-5150
(407) 905-8827
(352) 360-0762
Mailing address
110 S WOODLAND ST, WINTER GARDEN, FL 34787-3546
(407) 905-8827
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1836692
FL
363LF0000X
Family Nurse Practitioner
1836692
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000706300
—
FL
Enumeration date
01/25/2006
Last updated
02/21/2018
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