Healthcare Provider Details

I. General information

NPI: 1760086995
Provider Name (Legal Business Name): PHEBE ISRAEL BSN RN, DOULA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2020
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3943 SIGNAL DR
COLUMBUS OH
43232-6381
US

IV. Provider business mailing address

3943 SIGNAL DR
COLUMBUS OH
43232-6381
US

V. Phone/Fax

Practice location:
  • Phone: 614-735-5322
  • Fax:
Mailing address:
  • Phone: 614-735-5322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN.466274
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: