Individual
MISS GLORY DICKSON EKANEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-C
Contact information
Practice address
2085 CITYGATE DR, COLUMBUS, OH 43219-3656
(614) 300-9100
Mailing address
3287 BIDLINGTON DR, COLUMBUS, OH 43224-5716
(614) 598-7300
(614) 598-7300
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN407523
OH
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
LE00059564
OH
Other
Enumeration date
04/21/2009
Last updated
10/07/2025
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