Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 35.096684 | OH |
N | 207V00000X | Obstetrician & Gynecologist | 44095 | KY |
N | 207VX0000X | Obstetrician | 44095 | KY |
NPI | 1386936821 |
---|---|
Provider Name | Nanci Jo Billock |
First Address | Cincinnati, OH 45220-2475 |
Second Address | Florence, KY 41042-1618 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2011 |
Last Update Date | 20/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100181690 | (05) | KY |