Clevenger, Gina P
Clevenger, Gina P is an individual health care provider with primary practice located at 330 Turner Mccall Blvd Sw Ste 107 , Rome GA 30165-5631. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clevenger, Gina P can be contacted via phone (706) 509-6439.Contact Information
Primary practice address
330 Turner Mccall Blvd Sw Ste 107
Rome GA 30165-5631
Phone: (706) 509-6439
Fax: (770) 607-1339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN120899 | Georgia |
Profile Details
| NPI number | 1861599045 |
|---|---|
| LBN Legal business name | Clevenger, Gina P |
| Credentials | C-FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Aug 10th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861599045 | NPPES |
| Georgia | MEDICAID | 000836382B |
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