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Individual

MRS. JULIE LYNN ADDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(855) 446-5937
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1562
(740) 446-5387

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.18055
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0150253
OH
05
1518336098
WV
Enumeration date
09/15/2015
Last updated
06/18/2025
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