Healthcare Provider Details

I. General information

NPI: 1346137429
Provider Name (Legal Business Name): JONATHON ARRINGTON WHITMORE FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2025
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2123 AUBURN AVE STE 201
CINCINNATI OH
45219-2906
US

IV. Provider business mailing address

2123 AUBURN AVE STE 201
CINCINNATI OH
45219-2906
US

V. Phone/Fax

Practice location:
  • Phone: 513-206-1170
  • Fax:
Mailing address:
  • Phone: 513-206-1170
  • Fax: 513-206-1172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0037160
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: