MEDICARE: ADAM C. NECKER APRN.CNP

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	363LA2200X	Adult Health Nurse Practitioner	APRN.CNP.11712	OH

General Provider Information

NPI Number	:	1619279775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM C. NECKER APRN.CNP

Provider Business Mailing Address
First Line	:	2800 CORPORATE EXCHANGE DR STE 170
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-7628
Country	:	US
Telephone Number	:	614-441-9300
Fax Number	:	614-769-6563

Provider Business Practice Location Address
First Line	:	2800 CORPORATE EXCHANGE DR STE 170
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-7628
Country	:	US
Telephone Number	:	614-441-9300
Fax Number	:	614-769-6563

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

Provider Enumeration Date	:	11/23/2010
Last Update Date	:	02/04/2026

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