Healthcare Provider Details

I. General information

NPI: 1538546049
Provider Name (Legal Business Name): SHELLY ANN LEHMANN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2015
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 REGENT ST STE 200
COLUMBUS OH
43219-6229
US

IV. Provider business mailing address

605 3RD AVE
FREMONT OH
43420-3269
US

V. Phone/Fax

Practice location:
  • Phone: 877-870-1775
  • Fax: 614-968-8840
Mailing address:
  • Phone: 419-355-8070
  • Fax: 419-355-1109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCOA17291-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: