Provider Demographics
NPI:1851009872
Name:GENTRY, DONNISHA (STNA, DOULA)
Entity type:Individual
Prefix:
First Name:DONNISHA
Middle Name:
Last Name:GENTRY
Suffix:
Gender:
Credentials:STNA, DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2998 SPRUCEWAY DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-4245
Mailing Address - Country:US
Mailing Address - Phone:513-410-8971
Mailing Address - Fax:
Practice Address - Street 1:2998 SPRUCEWAY DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251-4245
Practice Address - Country:US
Practice Address - Phone:513-410-8971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-08
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH253Z00000X, 376J00000X, 376K00000X, 374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No253Z00000XAgenciesIn Home Supportive Care
No376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide