MEDICARE: AFFORDABLE CARE CLINIC

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1720938251
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFORDABLE CARE CLINIC

Provider Business Mailing Address
First Line	:	104 N STYGLER RD
Second Line	:
City	:	GAHANNA
State	:	OH
Zip	:	43230-2437
Country	:	US
Telephone Number	:	614-475-2273
Fax Number	:	614-475-4329

Provider Business Practice Location Address
First Line	:	104 N STYGLER RD
Second Line	:
City	:	GAHANNA
State	:	OH
Zip	:	43230-2437
Country	:	US
Telephone Number	:	614-475-2273
Fax Number	:	614-475-4329

Authorized Official
Title or Position	:	PRESIDENT - BOARD OF TRUSTEES
Name	:	DIANN LYNN NELSON-HOUSER
Credential	:	APRN, CNP
Telephone Number	:	614-475-2273

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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Directions to “AFFORDABLE CARE CLINIC ” Practice Location

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