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NPI Code Detail

MEDICARE: MINDFUL RETREAT

MEDICARE: MINDFUL RETREAT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1235938440
Entity Type Code : Organization
Provider Name (Legal Business Name) : MINDFUL RETREAT
Provider Business Mailing Address
First Line : 3986 SWEET SHADOW AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43230-7399
Country : US
Telephone Number : 614-300-7976
Fax Number :
Provider Business Practice Location Address
First Line : 3296 WESTERVILLE RD # 1068
Second Line :
City : COLUMBUS
State : OH
Zip : 43224-3790
Country : US
Telephone Number : 614-300-7976
Fax Number :
Authorized Official
Title or Position : OWNER/CEO
Name : SHARION JONE
Credential :
Telephone Number : 216-269-6202
Provider Enumeration Date : 03/10/2025
Last Update Date : 08/23/2025

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Directions to “MINDFUL RETREAT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.