Individual
JEFFREY RYAN BOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-4545
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-4545
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.17690
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0139992
—
OH
Enumeration date
07/29/2015
Last updated
04/11/2025
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