Basic Information
Provider Information
NPI: 1871946616
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HILL
FirstName: JULIE
MiddleName: ELIZABETH
NamePrefix:  
NameSuffix:  
Credential: AGACNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2934 CLEINVIEW AVE
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452061421
CountryCode: US
TelephoneNumber: 5132620363
FaxNumber:  
Practice Location
Address1: 375 DIXMYTH AVE
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452202475
CountryCode: US
TelephoneNumber: 5138621400
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/17/2016
LastUpdateDate: 01/02/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/02/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2100XAPRN.CNP.019462OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


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