Organization
COMMUNITY CARE COACHING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUDRA LYNNE HANNERS DNP, APRN-CNP (OWNER/NURSE PRACTITIONER)
(614) 597-6071
Entity
Organization
Contact information
Practice address
13195 COVENTRY AVE, PICKERINGTON, OH 43147-9331
(614) 597-6071
Mailing address
1608 DREAM CT, REYNOLDSBURG, OH 43068-1576
(614) 597-6071
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LC1500X
Community Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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