Individual
GINA THERIOT JORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4200 REGENT ST STE 200, COLUMBUS, OH 43219-6229
(877) 870-1775
(614) 968-8840
Mailing address
4200 REGENT ST STE 200, COLUMBUS, OH 43219-6229
(225) 223-2778
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP06049
LA
363L00000X
Nurse Practitioner
RN 098182
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2113101
—
LA
01
—
P00858048
RAIL ROAD MEDICARE #
LA
Enumeration date
03/08/2010
Last updated
01/06/2026
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