Provider Demographics
NPI:1932343860
Name:HORNE, CAROLYN JANE (CNP)
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:JANE
Last Name:HORNE
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3200 VINE ST
Mailing Address - Street 2:PULMONARY OFFICE
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45220-2213
Mailing Address - Country:US
Mailing Address - Phone:513-861-3100
Mailing Address - Fax:513-487-6670
Practice Address - Street 1:3200 VINE ST
Practice Address - Street 2:PULMONARY OFFICE
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-2213
Practice Address - Country:US
Practice Address - Phone:513-861-3100
Practice Address - Fax:513-487-6670
Is Sole Proprietor?:No
Enumeration Date:2009-04-22
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHRN198783 COA09411363LA2100X
OHRN198783 COA05261364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist