Provider Demographics
NPI:1851440291
Name:ALSPACH, JULANA ANN (CNP)
Entity Type:Individual
Prefix:MS
First Name:JULANA
Middle Name:ANN
Last Name:ALSPACH
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:JULANA
Other - Middle Name:ANN
Other - Last Name:ALSPACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:293 LAKE HILLS CT
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-3531
Mailing Address - Country:US
Mailing Address - Phone:740-409-5089
Mailing Address - Fax:740-919-5638
Practice Address - Street 1:293 LAKE HILLS CT
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-3531
Practice Address - Country:US
Practice Address - Phone:740-409-5089
Practice Address - Fax:740-919-5638
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN233616163W00000X
OH14962NP363L00000X
OHCOA14962363LF0000X
OHAPRN.CNP.14962363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0131583Medicaid