Individual
DERICKA BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
306 NATIONWIDE BLVD, COLUMBUS, OH 43228-2029
(614) 554-6208
Mailing address
306 NATIONWIDE BLVD, COLUMBUS, OH 43228-2029
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN485894
OH
164W00000X
Licensed Practical Nurse
Primary
164977.MEDS-IV
OH
Other
Enumeration date
03/09/2018
Last updated
03/16/2026
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