Healthcare Provider Details

I. General information

NPI: 1336959873
Provider Name (Legal Business Name): SYDNEY JANE KREBS APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2025
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 OBETZ RD
COLUMBUS OH
43207-4036
US

IV. Provider business mailing address

1771 OLD PALMER RD NW
WASHINGTON COURT HOUSE OH
43160-9084
US

V. Phone/Fax

Practice location:
  • Phone: 614-409-1400
  • Fax:
Mailing address:
  • Phone: 740-335-3126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0040107
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.508250
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: