Healthcare Provider Details

I. General information

NPI: 1689585176
Provider Name (Legal Business Name): JONATHAN TOURVILLE DNP, PMHNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3310 VINE ST
CINCINNATI OH
45221-0001
US

IV. Provider business mailing address

3310 VINE ST
CINCINNATI OH
45221-0001
US

V. Phone/Fax

Practice location:
  • Phone: 513-558-5500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0043582
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: