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NPI Code Detail

MEDICARE: JULIE L. BICKNELL APRN.CNP

MEDICARE: JULIE L. BICKNELL APRN.CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAPRN.CNP.025198OH
2363LA2100XAcute Care Nurse Practitioner385589OH
3363LG0600XGerontology Nurse PractitionerAPRN.CNP.025198OH

General Provider Information

NPI Number : 1538725924
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE L. BICKNELL APRN.CNP
Provider Business Mailing Address
First Line : 4685 FOREST AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-3397
Country : US
Telephone Number : 513-246-1964
Fax Number :
Provider Business Practice Location Address
First Line : 4310 COOPER RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45242-5613
Country : US
Telephone Number : 513-246-9799
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2019
Last Update Date : 01/24/2022

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