Individual
MRS. MICHELLE HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12110 LEBANON RD, SHARONVILLE, OH 45241-1739
(513) 853-9700
Mailing address
12110 LEBANON RD, SHARONVILLE, OH 45241-1739
(513) 853-9700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.403085
OH
363L00000X
Nurse Practitioner
Primary
0028525
OH
Other
Enumeration date
02/06/2021
Last updated
07/28/2022
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