Individual
NICOLE MCCRACKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
855 GRANDVIEW AVE, COLUMBUS, OH 43215-1192
(614) 591-6859
(614) 826-0215
Mailing address
855 GRANDVIEW AVE, COLUMBUS, OH 43215-1192
(614) 591-6859
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
COA.16717-NP
OH
Other
Enumeration date
09/01/2015
Last updated
01/23/2018
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