| NPI | 1750115804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAILENDRA KUMAR JAIN Provider 614-230-6081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2024-09-23 |