Individual provider · Type 1 NPI

Shiny George

Family Nurse Practitioner · Dayton, OH

NPI number 1063003077 Active

Practice location

1435 Cincinnati St
Dayton, OH 45417-4614

Fax (513) 694-0168

Mailing address

6460 Harrison Ave Ste 200
Cincinnati, OH 45247-7958

Other practice locations

  • 25 Whitney Dr Ste 122, Milford, OH 45150-8400 · (513) 941-4999
  • 160 N Breiel Blvd, Middletown, OH 45042-3806 · (513) 941-4999
  • 100 Highview Blvd, Columbus, OH 43207-6023 · (513) 941-4999
  • 1718 Central Pkwy, Cincinnati, OH 45214-2355 · (513) 941-4999
  • 1907 11th St, Portsmouth, OH 45662-4531 · (513) 941-4999
  • 1421 Parker Ct, Springfield, OH 45504-2855 · (513) 941-4999
  • 1130 Garbry Rd, Piqua, OH 45356-8217 · (513) 941-4999
  • 247 Cic Blvd, West Union, OH 45693-7512 · (513) 941-4999
  • 680 Northland Blvd, Cincinnati, OH 45240-3248 · (513) 941-4999
  • 6460 Harrison Ave Ste 200, Cincinnati, OH 45247-7958 · (513) 941-4999

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN.308675 (OH)
Family Nurse Practitioner Primary 363LF0000XAPRN.CNP.0028330 (OH)

Family Nurse Practitioner: Definition to come...

46 other providers at this address

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About NPI 1063003077

Shiny George's National Provider Identifier is 1063003077, issued on Feb 2, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dayton, OH. The record was last updated on Aug 19, 2025.