Healthcare Provider Details

I. General information

NPI: 1598567356
Provider Name (Legal Business Name): NANA HAMMOND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2025
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1577 NEIL AVE
COLUMBUS OH
43201-2320
US

IV. Provider business mailing address

7171 AUSTRIAN WAY
REYNOLDSBURG OH
43068
US

V. Phone/Fax

Practice location:
  • Phone: 614-292-8900
  • Fax:
Mailing address:
  • Phone: 614-772-1687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number407765
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: