Healthcare Provider Details

I. General information

NPI: 1235499880
Provider Name (Legal Business Name): JULIE E. GRAFMEYER CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIE E. HACKWORTH

II. Dates (important events)

Enumeration Date: 05/16/2012
Last Update Date: 11/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5005 ARLINGTON CENTRE BLVD
UPPER ARLINGTON OH
43220-2912
US

IV. Provider business mailing address

5005 ARLINGTON CENTRE BLVD
UPPER ARLINGTON OH
43220-2912
US

V. Phone/Fax

Practice location:
  • Phone: 614-246-6900
  • Fax: 614-453-1547
Mailing address:
  • Phone: 614-246-6900
  • Fax: 614-453-1547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberCOA.13431-NP
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.318965
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: