MEDICARE: MS. JULANA ANN ALSPACH 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
1	163W00000X	Registered Nurse	RN233616	OH
2	363L00000X	Nurse Practitioner	14962NP	OH
3	363LF0000X	Family Nurse Practitioner	COA14962	OH
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN.CNP.14962	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851440291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JULANA ANN ALSPACH CNP

Provider Business Mailing Address
First Line	:	293 LAKE HILLS CT
Second Line	:
City	:	PICKERINGTON
State	:	OH
Zip	:	43147-3531
Country	:	US
Telephone Number	:	740-409-5089
Fax Number	:	740-919-5638

Provider Business Practice Location Address
First Line	:	293 LAKE HILLS CT
Second Line	:
City	:	PICKERINGTON
State	:	OH
Zip	:	43147-3531
Country	:	US
Telephone Number	:	740-409-5089
Fax Number	:	740-919-5638

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	12/12/2023

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