Individual
MR. JUSTIN LEWIS FOREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
3130 HIGHLAND AVE, CINCINNATI, OH 45219-2399
(513) 584-7217
Mailing address
3130 HIGHLAND AVE, CINCINNATI, OH 45219-2399
(513) 584-7217
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
COA.16340-NP
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.16340
OH
Other
Enumeration date
07/31/2014
Last updated
01/15/2021
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