Individual provider · Type 1 NPI
Jennifer Pettibone Gastenveld, NP
Adult Health Nurse Practitioner · Cincinnati, OH
NPI number
1124346879
Active
Practice location
2123 Auburn Ave
Cincinnati, OH 45219-2906
Fax (513) 206-1183
Mailing address
237 William Howard Taft Rd, 2nd Floor, Cbo 2-3
Cincinnati, OH 45219-2610
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 327169 (OH) |
| Nurse Practitioner | 363L00000X | 327169 (OH) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 327169 (OH) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1124346879
Jennifer Pettibone Gastenveld, NP's National Provider Identifier is 1124346879, issued on May 5, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Cincinnati, OH. The record was last updated on Jun 26, 2015.