Provider Demographics
NPI:1508880709
Name:OSSEGE, JULIANNE (APRN, PHD)
Entity Type:Individual
Prefix:
First Name:JULIANNE
Middle Name:
Last Name:OSSEGE
Suffix:
Gender:F
Credentials:APRN, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7495 STATE RD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-2498
Mailing Address - Country:US
Mailing Address - Phone:513-229-9121
Mailing Address - Fax:513-231-0337
Practice Address - Street 1:317 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WILMORE
Practice Address - State:KY
Practice Address - Zip Code:40390-1323
Practice Address - Country:US
Practice Address - Phone:859-858-0339
Practice Address - Fax:859-858-0341
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH178451207K00000X
KY3001813363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHS65971Medicare UPIN
OHNP22142Medicare PIN
OHNP22144Medicare PIN
OHNP22141Medicare PIN
OHNP22143Medicare PIN