Provider Demographics
NPI:1366873762
Name:SAVOIE, JULIE DIANE (APRN)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:DIANE
Last Name:SAVOIE
Suffix:
Gender:
Credentials:APRN
Other - Prefix:MISS
Other - First Name:JULIE
Other - Middle Name:DIANE
Other - Last Name:FERGUSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:3300 S FISKE BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-4306
Mailing Address - Country:US
Mailing Address - Phone:321-361-5067
Mailing Address - Fax:
Practice Address - Street 1:1223 GATEWAY DR
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-2607
Practice Address - Country:US
Practice Address - Phone:321-361-5067
Practice Address - Fax:321-956-2539
Is Sole Proprietor?:No
Enumeration Date:2013-12-10
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9367516363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL125829800Medicaid
FLHY494ZOtherMEDICARE