MEDICARE: GABRIEL JEU

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	2020014575	OH

General Provider Information

NPI Number	:	1588272033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIEL JEU

Provider Business Mailing Address
First Line	:	4505 KENNY RD # 1045
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-4034
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4505 KENNY RD #1045
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-4034
Country	:	US
Telephone Number	:	216-282-4364
Fax Number	:

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

Provider Enumeration Date	:	07/21/2020
Last Update Date	:	12/12/2025

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Directions to “ GABRIEL JEU ” Practice Location

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