Healthcare Provider Details

I. General information

NPI: 1801880935
Provider Name (Legal Business Name): BARBARA A. PERSONS CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1835 E HIGH ST
SPRINGFIELD OH
45505-5210
US

IV. Provider business mailing address

8518 DAVINGTON DR
DUBLIN OH
43017-7617
US

V. Phone/Fax

Practice location:
  • Phone: 614-446-3266
  • Fax:
Mailing address:
  • Phone: 614-446-3266
  • Fax: 614-888-7900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License NumberNP-01850
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: