Healthcare Provider Details
I. General information
NPI: 1699243097
Provider Name (Legal Business Name): AMERIKA IRENE HULL APRN, MSN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/05/2018
Last Update Date: 11/07/2024
Certification Date: 11/07/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
334 THOMAS MORE PKWY
CRESTVIEW HILLS KY
41017-3464
US
IV. Provider business mailing address
PO BOX 635283
CINCINNATI OH
45263-5283
US
V. Phone/Fax
- Phone: 859-301-5901
- Fax: 859-301-5940
- Phone: 859-301-5901
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | 3012862 |
| License Number State | KY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | APRN.CNP.0029167 |
| License Number State | OH |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 3012862 |
| License Number State | KY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: