Individual
GINA L TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3555 OLENTANGY RIVER RD, SUITE 2050, COLUMBUS, OH 43214-3912
(614) 566-2450
(614) 566-1895
Mailing address
5350 FRANTZ RD, DUBLIN, OH 43016-4259
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.09635-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3058837
—
OH
Enumeration date
07/14/2010
Last updated
01/25/2022
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