Healthcare Provider Details

I. General information

NPI: 1982916250
Provider Name (Legal Business Name): JULIE L. SWAIN APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE L. ANTONELLI CCNS

II. Dates (important events)

Enumeration Date: 07/02/2010
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6515 PULLMAN DR
LEWIS CENTER OH
43035-7380
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-2663
  • Fax: 614-293-2053
Mailing address:
  • Phone: 614-293-2663
  • Fax: 614-293-2053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.12599
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: