Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | APRN.CNP.019618 | OH |
Y | 363LN0000X | Nurse Practitioner - Neonatal | APRN.CNP.019618 | OH |
NPI | 1093269912 |
---|---|
Provider Name | Ms. Gina Rochelle Perronie |
First Address | Cincinnati, OH 45229-3026 |
Second Address | Cincinnati, OH 45229-3026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2016 |
Last Update Date | 13/04/2018 |