Basic Information
| Provider Information | |||||||||
| NPI: | 1508880709 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OSSEGE | ||||||||
| FirstName: | JULIANNE | ||||||||
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| Credential: | APRN, PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7495 STATE RD | ||||||||
| Address2: | SUITE 350 | ||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452552498 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5132299121 | ||||||||
| FaxNumber: | 5132310337 | ||||||||
| Practice Location | |||||||||
| Address1: | 317 E MAIN ST | ||||||||
| Address2: | |||||||||
| City: | WILMORE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 403901323 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8598580339 | ||||||||
| FaxNumber: | 8598580341 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/27/2006 | ||||||||
| LastUpdateDate: | 06/08/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/08/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207K00000X | 178451 | OH | N | Allopathic & Osteopathic Physicians | Allergy & Immunology | 363LF0000X | 3001813 | KY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.