Healthcare Provider Details

I. General information

NPI: 1285917096
Provider Name (Legal Business Name): KARI LYNN WARD CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARI LYNN CASSITY CNP

II. Dates (important events)

Enumeration Date: 09/28/2011
Last Update Date: 12/16/2020
Certification Date: 12/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 27TH ST STE 201
PORTSMOUTH OH
45662-6932
US

IV. Provider business mailing address

1735 27TH ST STE B06
PORTSMOUTH OH
45662-2681
US

V. Phone/Fax

Practice location:
  • Phone: 740-353-4143
  • Fax: 740-353-1714
Mailing address:
  • Phone: 740-356-7942
  • Fax: 740-356-7900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.12709
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.12709
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: