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Individual

MS. RONNETTA BLACKWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 257-5200
Mailing address
2665 MELLOWBROOK ST, COLUMBUS, OH 43232-4707
(614) 702-6115

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN.531792
OH
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN.531792
OH

Other

Enumeration date
11/15/2021
Last updated
03/10/2026
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