MEDICARE: PATIENCE AGYEIWAA FORDJOUR

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	163W00000X	Registered Nurse	RN489702	OH

General Provider Information

NPI Number	:	1851157143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATIENCE AGYEIWAA FORDJOUR

Provider Business Mailing Address
First Line	:	1382 SHARON GREEN DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-9016
Country	:	US
Telephone Number	:	614-779-3284
Fax Number	:

Provider Business Practice Location Address
First Line	:	1382 SHARON GREEN DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-9016
Country	:	US
Telephone Number	:	614-779-3284
Fax Number	:

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

Provider Enumeration Date	:	02/23/2024
Last Update Date	:	03/11/2026

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Directions to “ PATIENCE AGYEIWAA FORDJOUR ” Practice Location

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