Healthcare Provider Details

I. General information

NPI: 1104051556
Provider Name (Legal Business Name): JULIE ANN OUSLEY LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2009
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 N MAIN ST
DAYTON OH
45405-1624
US

IV. Provider business mailing address

1853 SPRING GROVE LN
MIDDLETOWN OH
45044-2946
US

V. Phone/Fax

Practice location:
  • Phone: 937-203-2017
  • Fax:
Mailing address:
  • Phone: 513-435-1613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number179740
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number130741
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: