Healthcare Provider Details

I. General information

NPI: 1497420731
Provider Name (Legal Business Name): HOLLY MELISSA HUNT PMHNP B-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2021
Last Update Date: 10/12/2022
Certification Date: 10/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 METRO PL N STE 100
DUBLIN OH
43017-5343
US

IV. Provider business mailing address

3925 W POINT RD
SUGAR GROVE OH
43155-9736
US

V. Phone/Fax

Practice location:
  • Phone: 855-289-1722
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN.403527
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0031966
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: