Individual
ALYSSA PEDDICORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
5300 N MEADOWS DR BLDG 1, GROVE CITY, OH 43123-2546
(614) 627-2000
Mailing address
5300 N MEADOWS DR BLDG 1, GROVE CITY, OH 43123-2546
(614) 627-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
395945
OH
363LF0000X
Family Nurse Practitioner
Primary
0026823
OH
Other
Enumeration date
04/24/2020
Last updated
06/08/2020
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