Provider Demographics
NPI:1174359624
Name:WARD, GINA ANGELA (FNP-C)
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:ANGELA
Last Name:WARD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3840 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-1450
Mailing Address - Country:US
Mailing Address - Phone:146-319-3030
Mailing Address - Fax:614-319-3082
Practice Address - Street 1:3840 MAIN ST
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-1450
Practice Address - Country:US
Practice Address - Phone:614-319-3030
Practice Address - Fax:614-319-3082
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-11
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0037521363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily