Provider Demographics
NPI:1215696042
Name:GASKIN, CAROLE DIONNE (CNP)
Entity type:Individual
Prefix:MRS
First Name:CAROLE
Middle Name:DIONNE
Last Name:GASKIN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2429 BAKER RD SW
Mailing Address - Street 2:
Mailing Address - City:NEW PHILADELPHIA
Mailing Address - State:OH
Mailing Address - Zip Code:44663-7100
Mailing Address - Country:US
Mailing Address - Phone:330-827-3340
Mailing Address - Fax:
Practice Address - Street 1:2600 TUSCARAWAS ST W STE 600
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708-4676
Practice Address - Country:US
Practice Address - Phone:330-363-2438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-09
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHF092115577363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner