Healthcare Provider Details

I. General information

NPI: 1962082156
Provider Name (Legal Business Name): GABRIELLE VINCENT MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2021
Last Update Date: 07/18/2023
Certification Date: 07/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 N GRANT AVE
COLUMBUS OH
43215-2641
US

IV. Provider business mailing address

3229 INDIANOLA AVE APT 4
COLUMBUS OH
43202-1344
US

V. Phone/Fax

Practice location:
  • Phone: 614-224-6617
  • Fax:
Mailing address:
  • Phone: 614-519-6302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP.003419
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: