Gifford, Cora

Gifford, Cora is an sole proprietor health care provider with primary practice located at 46 Waterside Way , Covington KY 41017-9725. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Gifford, Cora can be contacted via phone (859) 801-1692.

Contact Information

Primary practice address
46 Waterside Way Covington KY 41017-9725
Phone: (859) 801-1692
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1098849 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26192 South Carolina

Profile Details

NPI number 1306592803
LBN Legal business name Gifford, Cora
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2022
Last updated Jul 27th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306592803 NPPES
South Carolina Other 26192 APRN

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