Individual
JACQUELINE CHRISTINE GANSHIRT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
7370 TURFWAY RD, STE 390, FLORENCE, KY 41042-4895
(859) 212-5125
(859) 212-5099
Mailing address
4685 FOREST AVE, STE C, CINCINNATI, OH 45212-3359
(859) 212-5125
(859) 212-5099
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
3004936
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0060644
—
OH
05
—
7100046190
—
KY
01
—
P00985229
RAILROAD MEDICARE
KY
Enumeration date
01/26/2007
Last updated
10/05/2016
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