Individual
GINA MICHELLE HENNESSY
Active
Individual
GINA MICHELLE HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
SP010586
PA
363L00000X
Nurse Practitioner
SP010586
PA
363LP0200X
Pediatric Nurse Practitioner
LJ-0000276
DE
363LP2300X
Primary Care Nurse Practitioner
Primary
SP010586
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026832780001
—
PA
Enumeration date
12/14/2009
Last updated
11/09/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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