Individual
MR. JUSTIN O'GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
111 S GRANT AVE STE 350, COLUMBUS, OH 43215-4701
(614) 566-9550
(614) 566-8392
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
(614) 544-6370
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.17437
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0134319
—
OH
Enumeration date
02/19/2015
Last updated
10/29/2025
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