Provider Demographics
NPI:1295766780
Name:VARNIER, JULIA GREEN (PA-C)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:GREEN
Last Name:VARNIER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:E
Other - Last Name:GREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:188 YMCA PL
Mailing Address - Street 2:
Mailing Address - City:VICKSBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39183-3536
Mailing Address - Country:US
Mailing Address - Phone:601-636-7222
Mailing Address - Fax:
Practice Address - Street 1:188 YMCA PL
Practice Address - Street 2:
Practice Address - City:VICKSBURG
Practice Address - State:MS
Practice Address - Zip Code:39183-3536
Practice Address - Country:US
Practice Address - Phone:601-636-7222
Practice Address - Fax:601-636-0440
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006517363A00000X
VA0110001737363AM0700X
MSPA00246363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical