Organization
COLUMBUS CONVENIENT CARE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LATONYA CARROLL DNP, APRN, CNP (NURSE PRACTITIONER)
(877) 318-0934
Entity
Organization
Contact information
Practice address
2686A CROSSROADS PLAZA DR, COLUMBUS, OH 43219-3442
(877) 318-0934
(888) 831-0965
Mailing address
2686A CROSSROADS PLAZA DR, COLUMBUS, OH 43219-3442
(877) 318-0934
(888) 831-0965
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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