Individual provider · Type 1 NPI

Gina Theriot Jory, NP

Nurse Practitioner · Columbus, OH

NPI number 1104149905 Active

Practice location

4200 Regent St Ste 200
Columbus, OH 43219-6229

Fax (614) 968-8840

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAP06049 (LA)
Nurse Practitioner 363L00000XRN 098182 (LA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104149905

Gina Theriot Jory, NP's National Provider Identifier is 1104149905, issued on Mar 8, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Columbus, OH. The record was last updated on Jan 6, 2026.