Healthcare Provider Details

I. General information

NPI: 1457885097
Provider Name (Legal Business Name): BRITTANY JULIANNA BOONE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2017
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1160 W BROAD ST
COLUMBUS OH
43222-1352
US

IV. Provider business mailing address

655 AFRICA RD
WESTERVILLE OH
43082-9808
US

V. Phone/Fax

Practice location:
  • Phone: 614-274-1455
  • Fax: 614-274-1433
Mailing address:
  • Phone: 614-326-2672
  • Fax: 614-326-3293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.020793
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: