Healthcare Provider Details

I. General information

NPI: 1972087344
Provider Name (Legal Business Name): JULIANN E. GILLEN-ZINSMEISTER APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2018
Last Update Date: 08/09/2020
Certification Date: 08/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 PERIMETER DR
DUBLIN OH
43016-8461
US

IV. Provider business mailing address

7670 N GOODRICH SQ
NEW ALBANY OH
43054-8929
US

V. Phone/Fax

Practice location:
  • Phone: 740-304-0151
  • Fax:
Mailing address:
  • Phone: 614-315-6903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number023632
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: