Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | COA.16339-NP | OH |
N | 363LG0600X | Nurse Practitioner - Gerontology | COA.16339-NP | OH |
N | 363LP2300X | Nurse Practitioner - Primary Care | COA.16339-NP | OH |
NPI | 1093124836 |
---|---|
Provider Name | Julie L Shelton |
First Address | Cincinnati, OH 45219-2364 |
Second Address | Cincinnati, OH 45219-2364 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2014 |
Last Update Date | 27/10/2017 |