Individual
GRACE ISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6001 E BROAD ST, COLUMBUS, OH 43213-1502
(614) 234-6000
Mailing address
2323 W 5TH AVE # 225, COLUMBUS, OH 43204-4899
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.009990RX
OH
Other
Enumeration date
01/03/2026
Last updated
01/03/2026
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