Doctor Name: | TINA GEARY |
NPI Number: | 1083632616 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN,ARNP-C |
License Number: | 71000831 |
Business Practice Address: | 2700 Vissing Park Rd Jeffersonville, IN - 471305989 |
Business Phone Number: | 8122848000 |
Business Fax Number: | 8122581094 |
Mailing Address: | 2700 Vissing Park Rd, JEFFERSONVILLE |
State: | IN |
Postal Code: | 471305989 |
Phone Number: | 8122848000 |
Fax Number: | 8122581094 |
NPI Enumeration Date: | 07/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 71000831 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |