Healthcare Provider Details

I. General information

NPI: 1801844923
Provider Name (Legal Business Name): JEAN M. DENNY CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 12/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 PIEDMONT AVE STE 4000
CINCINNATI OH
45219-4231
US

IV. Provider business mailing address

2830 VICTORY PKWY STE 310
CINCINNATI OH
45206-3700
US

V. Phone/Fax

Practice location:
  • Phone: 513-475-8500
  • Fax: 513-475-8510
Mailing address:
  • Phone: 513-245-3444
  • Fax: 513-245-3449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN-202171
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: