Healthcare Provider Details

I. General information

NPI: 1023774023
Provider Name (Legal Business Name): VALERIE FARRIS APRN-NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VALERIE EVANS

II. Dates (important events)

Enumeration Date: 11/14/2021
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7182 LIBERTY CENTRE DR STE Q
WEST CHESTER OH
45069-6585
US

IV. Provider business mailing address

7182 LIBERTY CENTRE DR STE Q
WEST CHESTER OH
45069-6585
US

V. Phone/Fax

Practice location:
  • Phone: 513-991-8676
  • Fax:
Mailing address:
  • Phone: 513-991-8676
  • Fax: 513-755-2200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2022091979
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.452112
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: