Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | APRN.CNP.022805 | OH |
N | 363LP0200X | Nurse Practitioner - Pediatrics | APRN.CNP.022805 | OH |
NPI | 1336599000 |
---|---|
Provider Name | John Cleghorn |
First Address | Westerville, OH 43081-8971 |
Second Address | Westerville, OH 43081-8971 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2016 |
Last Update Date | 28/12/2019 |