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Individual

JEREMY BROOKS ELBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN-CNP

Contact information

Practice address
452 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-5502
(614) 293-7221
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-5502
(614) 293-7221

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.338277
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.14602
OH
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.14602
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0135274
OH
Enumeration date
04/14/2013
Last updated
03/13/2026
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