Julie C Gaston, RN

Individual provider Active NPI Community Health Registered Nurse · Perry, FL

NPI 1235158676 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1235158676
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
RN9210327 (FL)
Practice address
1215 N Peacock Ave
Perry, FL 32347-2117
Phone
(850) 584-5087
Fax
(850) 584-8653
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9210327FLMDCommunity Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN9210327 FL Yes

Addresses

Primary practice location

1215 N Peacock Ave
Perry, FL 32347-2117

Mailing address

1215 N Peacock Ave
Perry, FL 32347-2117
Phone (850) 584-5087

Other providers in Perry, FL

All providers in Perry, FL · Community Health Registered Nurse in Florida

Sources for this page

Verify at the official NPI Registry.