Hennessy, Gina Michelle

Hennessy, Gina Michelle is an individual health care provider with primary practice located at 702 Gordon Dr , Exton PA 19341-1253. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Hennessy, Gina Michelle can be contacted via phone (610) 363-1330.

Contact Information

Primary practice address
702 Gordon Dr Exton PA 19341-1253
Phone: (610) 363-1330
Fax: (610) 524-8574
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X SP010586 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP010586 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X LJ-0000276 Delaware
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X SP010586 Pennsylvania

Profile Details

NPI number 1831428317
LBN Legal business name Hennessy, Gina Michelle
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2009
Last updated Nov 9th, 2020 - about 6 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 1831428317 NPPES
Pennsylvania MEDICAID 1026832780001

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