MEDICARE: PORTIA DANKWAH ADJEI RN

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	APRN.CNP.0041603	OH

General Provider Information

NPI Number	:	1508592403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PORTIA DANKWAH ADJEI RN

Provider Business Mailing Address
First Line	:	1791 ALUM CREEK DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43207-1708
Country	:	US
Telephone Number	:	614-445-8131
Fax Number	:

Provider Business Practice Location Address
First Line	:	1430 S HIGH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43207-1045
Country	:	US
Telephone Number	:	614-445-8131
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2022
Last Update Date	:	03/03/2026

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