Provider Demographics
NPI:1225841265
Name:CHINOLY, GEMMA (CNA)
Entity type:Individual
Prefix:
First Name:GEMMA
Middle Name:
Last Name:CHINOLY
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:446 3RD ST STE 10
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32266-5111
Mailing Address - Country:US
Mailing Address - Phone:904-339-2289
Mailing Address - Fax:
Practice Address - Street 1:446 3RD ST STE 10
Practice Address - Street 2:
Practice Address - City:NEPTUNE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32266-5111
Practice Address - Country:US
Practice Address - Phone:904-339-2289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL285724376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide