Individual
NELLY NTIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP, PMHNP-BC
Contact information
Practice address
1577 NEIL AVE, COLUMBUS, OH 43201-2320
(614) 805-6695
Mailing address
1577 NEIL AVE, COLUMBUS, OH 43210-1216
(614) 805-6695
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.531086
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0040403
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/17/2025
Last updated
02/19/2026
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