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Contact Information

JULIE PETTIS, FNP
200 INDUSTRIAL BLVD
DUBLIN, GA31021-2981
 Phone: 478-274-3865
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

School

363LS0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JULIE PETTIS · (Female)

NPI # 1740728823
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 02/08/2017
Last updated 11/06/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • GA License # F04170449
  • GA License # RN190687
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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