Healthcare Provider Details

I. General information

NPI: 1306751524
Provider Name (Legal Business Name): GRACE ADOMA DARKO ANSAH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1911 CULLUM ST APT 307
COLUMBUS OH
43219-0029
US

IV. Provider business mailing address

1911 CULLUM ST APT 307
COLUMBUS OH
43219-0029
US

V. Phone/Fax

Practice location:
  • Phone: 614-999-3012
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN.526928
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: