Provider Demographics
NPI:1275134801
Name:BASINGER, ABRAM JAMES (FNP)
Entity Type:Individual
Prefix:
First Name:ABRAM
Middle Name:JAMES
Last Name:BASINGER
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3956 SPARKHILL DR
Mailing Address - Street 2:
Mailing Address - City:ENON
Mailing Address - State:OH
Mailing Address - Zip Code:45323-1436
Mailing Address - Country:US
Mailing Address - Phone:567-208-2239
Mailing Address - Fax:
Practice Address - Street 1:1174 E HOME RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45503-2726
Practice Address - Country:US
Practice Address - Phone:937-398-0354
Practice Address - Fax:937-398-0358
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-02
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0027702363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily