Healthcare Provider Details
I. General information
NPI: 1225586332
Provider Name (Legal Business Name): ASHLEY NICOLE PERSINGER CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/17/2016
Last Update Date: 11/06/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
560 N MAIN ST
MARION OH
43302-2331
US
IV. Provider business mailing address
4600 MONTGOMERY RD STE 400
CINCINNATI OH
45212-2600
US
V. Phone/Fax
- Phone: 513-834-7063
- Fax:
- Phone: 513-873-1269
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | RN.370529 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | APRN.CNP.020893 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: