Individual provider · Type 1 NPI

Melissa Sue List

Nurse Practitioner · Columbus, OH

NPI number 1053970541 Active

Practice location

3535 Olentangy River Rd
Columbus, OH 43214-3908

Fax (614) 566-1864

Mailing address

5450 Frantz Rd Ste 360
Dublin, OH 43016-4141

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN.CNP.024252 (OH)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1053970541

Melissa Sue List's National Provider Identifier is 1053970541, issued on Jun 10, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Columbus, OH. The record was last updated on Nov 19, 2019.