Individual
JENNIFER BALINGCONGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 S GRANT AVE, COLUMBUS, OH 43215-4701
(614) 566-8648
(614) 566-8392
Mailing address
5450 FRANTZ RD STE 360, DUBLIN, OH 43016-4141
(614) 566-8648
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
13750
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13750
COA
OH
01
—
RX 13750
CTPE
OH
Enumeration date
10/30/2012
Last updated
01/25/2022
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