Healthcare Provider Details

I. General information

NPI: 1639826928
Provider Name (Legal Business Name): TAYLER RANAE ROSS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2022
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 HILL RD N STE 201
PICKERINGTON OH
43147-1310
US

IV. Provider business mailing address

417 HILL RD N
PICKERINGTON OH
43147-1310
US

V. Phone/Fax

Practice location:
  • Phone: 614-733-4268
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAPRN.CNP.0030550
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: