Individual
GILLIAN TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3333 BURNET AVE, ML 2010, CINCINNATI, OH 45229
(513) 636-4415
(513) 636-7805
Mailing address
3008 BEAVER AVE, CINCINNATI, OH 45213-2420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008439RX
OH
Other
Enumeration date
09/07/2023
Last updated
10/18/2023
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