Healthcare Provider Details

I. General information

NPI: 1629786876
Provider Name (Legal Business Name): JOSIE NICHOLE DOTSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2022
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 OLENTANGY RIVER RD.
COLUMBUS OH
43214-4543
US

IV. Provider business mailing address

3140 CLUBHOUSE DR APT 5
BEAVERCREEK OH
45431-5627
US

V. Phone/Fax

Practice location:
  • Phone: 614-566-5000
  • Fax:
Mailing address:
  • Phone: 740-868-7335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberAPRN.CNP.0033251
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberAPRN.CNP.0033251
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: