Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | APRN.CNP.07935 | OH |
Y | 363LW0102X | Nurse Practitioner - Women's Health | APRN.CNP.07935 | OH |
NPI | 1023020591 |
---|---|
Provider Name | Mrs. Julia Wilson |
First Address | Dublin, OH 43016-4141 |
Second Address | Grove City, OH 43123-3990 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2006 |
Last Update Date | 25/01/2022 |