Individual provider · Type 1 NPI
Shardai M. Hackworth
General Practice Registered Nurse · Columbus, OH
NPI number
1679353700
Active
Practice location
565 Old Farm Rd
Columbus, OH 43213-2663
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 440649 (OH) |
General Practice Registered Nurse: Definition to come...
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About NPI 1679353700
Shardai M. Hackworth's National Provider Identifier is 1679353700, issued on Oct 5, 2023. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Columbus, OH. The record was last updated on Sep 11, 2025.