MEDICARE: J2HEALTHCARE, LLC

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1245189802
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J2HEALTHCARE, LLC

Provider Business Mailing Address
First Line	:	2700 E DUBLIN GRANVILLE RD STE 550C
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-4108
Country	:	US
Telephone Number	:	614-432-9079
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 E DUBLIN GRANVILLE RD STE 550C
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-4108
Country	:	US
Telephone Number	:	614-432-9079
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	THERESAH ODE BOAKYE
Credential	:	APRN
Telephone Number	:	614-432-9079

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

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