Individual
OSSIE MAE DORNOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2100 STELLA CT, COLUMBUS, OH 43215-1011
(614) 252-8402
(614) 252-7987
Mailing address
2254 HUGHEY SQUARE CT, REYNOLDSBURG, OH 43068-3692
(216) 526-2373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
351093
OH
251S00000X
Community/Behavioral Health Agency
Primary
APRN.CNP.0032653
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0032653
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0495167
—
OH
Enumeration date
07/05/2022
Last updated
04/08/2026
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