Individual
LISA ANN BOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6001 E BROAD ST, COLUMBUS, OH 43213-1502
(614) 234-6000
Mailing address
248 MANNASEH DR W, GRANVILLE, OH 43023-7517
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.419553
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0031719
OH
Other
Enumeration date
05/22/2022
Last updated
01/29/2025
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