Healthcare Provider Details

I. General information

NPI: 1235063504
Provider Name (Legal Business Name): JALYNN GUICE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1577 NEIL AVE
COLUMBUS OH
43210-1216
US

IV. Provider business mailing address

4634 NORMANDY DR
GALENA OH
43021-8019
US

V. Phone/Fax

Practice location:
  • Phone: 614-292-8900
  • Fax:
Mailing address:
  • Phone: 614-519-2472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number01
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: