Healthcare Provider Details

I. General information

NPI: 1194509257
Provider Name (Legal Business Name): SHEELA M PALMA APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2023
Last Update Date: 08/28/2023
Certification Date: 08/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 W JOHNSTOWN RD STE 115
COLUMBUS OH
43230-2888
US

IV. Provider business mailing address

261 W JOHNSTOWN RD STE 115
COLUMBUS OH
43230-2888
US

V. Phone/Fax

Practice location:
  • Phone: 614-697-3339
  • Fax:
Mailing address:
  • Phone: 614-697-3339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0034449
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0034449
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: