Provider Demographics
NPI:1609669621
Name:ABOAGYE, JENNIFER (APRNCNP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:ABOAGYE
Suffix:
Gender:F
Credentials:APRNCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6174 CAMBRIDGE TRL
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:45044-8757
Mailing Address - Country:US
Mailing Address - Phone:513-704-1768
Mailing Address - Fax:
Practice Address - Street 1:11333 CORNELL PARK DR # 200
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-1813
Practice Address - Country:US
Practice Address - Phone:513-751-6667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0038870363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology