Healthcare Provider Details

I. General information

NPI: 1093195638
Provider Name (Legal Business Name): NICHOLAS C PARKINSON FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2015
Last Update Date: 01/13/2023
Certification Date: 01/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7631 CHEVIOT RD
CINCINNATI OH
45247-4012
US

IV. Provider business mailing address

7631 CHEVIOT RD
CINCINNATI OH
45247-4012
US

V. Phone/Fax

Practice location:
  • Phone: 513-923-1886
  • Fax: 513-923-2878
Mailing address:
  • Phone: 513-923-1886
  • Fax: 513-923-2878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number1163663
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN.344160
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3013540
License Number StateKY
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.17506
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: