Provider Demographics
NPI:1437674363
Name:LIVINGSTON, ABIGAIL JEAN (DNP, CPNP, RN, ATC)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:JEAN
Last Name:LIVINGSTON
Suffix:
Gender:F
Credentials:DNP, CPNP, RN, ATC
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:
Other - Last Name:MCCLINTOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5280 BEECHMONT AVE APT 4153
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-1086
Mailing Address - Country:US
Mailing Address - Phone:317-690-1779
Mailing Address - Fax:
Practice Address - Street 1:3333 BURNET AVE, ML 2010
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3026
Practice Address - Country:US
Practice Address - Phone:513-636-4415
Practice Address - Fax:513-636-7805
Is Sole Proprietor?:No
Enumeration Date:2017-08-11
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.517684163W00000X
OHAPRN.CNP.0035185363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse