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NPI Code Detail

MEDICARE: MS. JULIE M MCCLAIN FNP-BC

MEDICARE: MS. JULIE M MCCLAIN FNP-BC
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
1363LF0000XFamily Nurse PractitionerAPRN.CNP.026159OH
2363LF0000XFamily Nurse Practitioner4704366438MI

General Provider Information

NPI Number : 1932749843
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JULIE M MCCLAIN FNP-BC
Provider Business Mailing Address
First Line : 21 E STATE ST OFC 233
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-4281
Country : US
Telephone Number : 888-731-8994
Fax Number :
Provider Business Practice Location Address
First Line : 21 E STATE ST OFC 233
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-4281
Country : US
Telephone Number : 888-731-8994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2020
Last Update Date : 05/06/2026

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