Individual
PENNY JO STOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3131 HARVEY AVE, CINCINNATI, OH 45229-3000
(513) 585-8227
(513) 585-8288
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 245-3600
(513) 245-3672
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.020020
OH
363LF0000X
Family Nurse Practitioner
3886-033
WI
363LF0000X
Family Nurse Practitioner
APRN.CNP.020020
OH
Other
Enumeration date
12/01/2009
Last updated
03/17/2018
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