| Doctor Name: | MS. JULIE CLARE |
| NPI Number: | 1801993282 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | F.N.P. |
| License Number: | 88008-030 |
| Business Practice Address: | 4500 Stuart Street Moncrief Army Hosital Attn: Mcxl-pq (credentials) Fort Jackson, SC - 292075720 |
| Business Phone Number: | 8037512618 |
| Business Fax Number: | 8037512689 |
| Mailing Address: | 4500 Stuart Street, Moncrief Army Hosital Attn: Mcxl-pq (credentials) FORT JACKSON |
| State: | SC |
| Postal Code: | 292075720 |
| Phone Number: | 8037512618 |
| Fax Number: | 8037512689 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 88008-030 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |