Individual
AHMED A ISSACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN,CNP
Contact information
Practice address
5137 BRAMALL LN APT 102, WESTERVILLE, OH 43081-2082
(614) 586-5970
Mailing address
5137 BRAMALL LN APT 102, WESTERVILLE, OH 43081-2082
(614) 586-5970
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
489687
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0040254
OH
Other
Enumeration date
06/02/2025
Last updated
09/19/2025
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