Healthcare Provider Details

I. General information

NPI: 1548787120
Provider Name (Legal Business Name): JULIE ANN BURNS BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2017
Last Update Date: 08/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

899 E BROAD ST STE 450
COLUMBUS OH
43205-1156
US

IV. Provider business mailing address

899 EAST BROAD STREET, SUITE 450
COLUMBUS OH
43205
US

V. Phone/Fax

Practice location:
  • Phone: 614-395-5967
  • Fax:
Mailing address:
  • Phone: 614-928-9417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN338722
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: