Individual
DOROTHY JACKSON BAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5131 BEACON HILL RD STE 220C, COLUMBUS, OH 43228-4442
(614) 544-2832
(614) 544-8778
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11693-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3091050
—
OH
Enumeration date
08/17/2010
Last updated
02/05/2024
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