Massey, Gina

Massey, Gina is an individual health care provider with primary practice located at 403 E. 1St Street Katherine Shaw Bethea Hospital, Dixon IL 61021. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Massey, Gina can be contacted via phone (815) 285-5629.

Contact Information

Primary practice address
403 E. 1St Street Katherine Shaw Bethea Hospital Dixon IL 61021
Phone: (815) 285-5629
Fax: (815) 285-5634
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209.009085 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209009085 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 832274 Nevada

Profile Details

NPI number 1629354519
LBN Legal business name Massey, Gina
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2011
Last updated Oct 25th, 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 1629354519 NPPES
Illinois MEDICAID 209009085

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