Powell, Julie Clausen

Powell, Julie Clausen is an individual health care provider with primary practice located at 1005 Mar Walt Drive Cvs Minute Clinic, Fort Walton Beach FL 32547-6707. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Powell, Julie Clausen can be contacted via phone (850) 863-8219.

Contact Information

Primary practice address
1005 Mar Walt Drive Cvs Minute Clinic Fort Walton Beach FL 32547-6707
Fax: (850) 863-8249
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11009143 Florida

Profile Details

NPI number 1053605857
LBN Legal business name Powell, Julie Clausen
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2011
Last updated Jan 29th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053605857 NPPES
Florida MEDICAID 108557900

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