Individual
MARY C CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 257-5200
Mailing address
1407 MULFORD RD, COLUMBUS, OH 43212-3404
(614) 226-5469
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.16583
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111359
—
OH
Enumeration date
09/23/2014
Last updated
02/24/2026
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