Individual
MRS. GINA LEANN BOHANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
2301 LEXINGTON AVE STE 215, ASHLAND, KY 41101-2833
(606) 408-4900
(606) 408-6643
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012139
KY
363LF0000X
Family Nurse Practitioner
79225
WV
Other
Enumeration date
08/02/2018
Last updated
09/27/2022
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