Individual
BRANDON M LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 257-5200
Mailing address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 257-5200
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.0026837
OH
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN.CNP.0026837
OH
Other
Enumeration date
06/10/2020
Last updated
09/13/2023
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