Provider Demographics
NPI:1427808351
Name:GILL, NAVNOOR (PMHNP)
Entity type:Individual
Prefix:
First Name:NAVNOOR
Middle Name:
Last Name:GILL
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10864 WATERBURY RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45458-6057
Mailing Address - Country:US
Mailing Address - Phone:513-292-8344
Mailing Address - Fax:
Practice Address - Street 1:10864 WATERBURY RIDGE LN
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45458-6057
Practice Address - Country:US
Practice Address - Phone:513-292-8344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2023193789363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health