Individual
JULIE A. TENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
460 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-3196
(614) 293-4812
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-3196
(614) 293-4812
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008042RX
OH
363AM0700X
Medical Physician Assistant
Primary
50.008042RX
OH
363AM0700X
Medical Physician Assistant
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0478036
—
OH
Enumeration date
02/03/2022
Last updated
01/29/2026
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