Healthcare Provider Details

I. General information

NPI: 1124878798
Provider Name (Legal Business Name): JULIA HILL-BYRD DNP, APRN, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2024
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4455 WALNUT RD
BUCKEYE LAKE OH
43008-3508
US

IV. Provider business mailing address

800 CROSS POINTE RD STE 800D
GAHANNA OH
43230-6687
US

V. Phone/Fax

Practice location:
  • Phone: 614-835-6068
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0041759
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.472701
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: