Individual
JOHN DAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
748 TAYLOR RD, COLUMBUS, OH 43230-3766
(512) 773-7565
Mailing address
628 OAK GALE LN, COLUMBUS, OH 43228-2719
(512) 773-7565
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.458990
OH
314000000X
Skilled Nursing Facility
—
—
363L00000X
Nurse Practitioner
APRN.CNP.0027661
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0027661
OH
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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