Provider Demographics
NPI:1881431013
Name:HAIRSTON, JULIA
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:HAIRSTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1670 AKRON PENINSULA RD STE 101
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-7944
Mailing Address - Country:US
Mailing Address - Phone:330-252-7518
Mailing Address - Fax:
Practice Address - Street 1:1670 AKRON PENINSULA RD STE 101
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-7944
Practice Address - Country:US
Practice Address - Phone:330-252-7518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health