Individual
JOHNATHAN HIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
5470 KINGS ISLAND DRIVE, STE 120, MASON, OH 45040
(513) 791-4490
(513) 791-7287
Mailing address
5470 KINGS ISLAND DRIVE, STE 120, MASON, OH 45040
(513) 791-4490
(513) 791-7287
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
405604
OH
363L00000X
Nurse Practitioner
CNP.025755
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.025755
OH
Other
Enumeration date
09/23/2019
Last updated
10/15/2024
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