Individual
MRS. JULIE CAMILLE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
114 SE CHURCH ST, SUBLIMITY, OR 97385-9424
(503) 769-2259
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(928) 759-5987
(928) 458-2039
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202211101NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079371
—
AZ
01
—
240030
ARIZONA STATE BOARD OF NURSING
AZ
Enumeration date
08/20/2010
Last updated
03/07/2023
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