Healthcare Provider Details

I. General information

NPI: 1821834524
Provider Name (Legal Business Name): TOBBI R REEVES-VALENTINE REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2024
Last Update Date: 07/17/2024
Certification Date: 07/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3561 JONATHAN NOBLE WAY
COLUMBUS OH
43231-4980
US

IV. Provider business mailing address

3561 JONATHAN NOBLE WAY
COLUMBUS OH
43231-4980
US

V. Phone/Fax

Practice location:
  • Phone: 614-537-2396
  • Fax:
Mailing address:
  • Phone: 614-537-2396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN261238
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: