Individual
JOAN A NUNNERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-C
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
26NN05458700
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
NP-09205
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000548935
ANTHEM
OH
05
—
2774752
—
OH
01
—
341847368039
CARESOURCE
OH
Enumeration date
09/22/2005
Last updated
01/13/2010
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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