Individual
JULIE HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-2692
(513) 852-7041
Mailing address
4685 FOREST AVE STE C, CINCINNATI, OH 45212-3359
(513) 862-2692
(513) 862-7041
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1092827
KY
363L00000X
Nurse Practitioner
RN246144
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
COA.05175-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2278100
—
OH
01
—
78011808
MEDICAID
KY
Enumeration date
07/14/2006
Last updated
01/25/2016
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