Organization · Type 2 NPI

Black Olive Health Care Clinic

Primary Care Nurse Practitioner · Columbus, OH

NPI number 1316695380 Active

Practice location

1415 E Dublin Granville Rd Ste 100C
Columbus, OH 43229-3311

Call (614) 943-3776 Map

Fax (860) 261-0210

Mailing address

860 Oakland Park Ave
Columbus, OH 43224-3258

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XNone listed

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1316695380

Black Olive Health Care Clinic's National Provider Identifier is 1316695380, issued on Mar 17, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Columbus, OH. The record was last updated on Mar 16, 2026.