Individual
TINA LYNN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1408 CAMPBELL DR, IRONTON, OH 45638-2301
(740) 533-9710
Mailing address
1408 CAMPBELL DR, IRONTON, OH 45638-2301
(740) 533-9710
(740) 533-9710
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.022043
OH
Other
Enumeration date
11/16/2017
Last updated
05/01/2023
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