STACEY MICHELLE MOLLE

COLUMBUS, OH
NPI1902041395
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OH  020975)
Additional Taxonomies163W00000X Registered Nurse
(Licence: OH  327159)
363LF0000X Nurse Practitioner, Family
(Licence: OH  aprn.cnp.020975)
Enumeration Date2008-12-13
Last Update Date2022-03-01
Business Address
STACEY MICHELLE MOLLE CNS FNP PMHNP
200 EAST CAMPUSVIEW BLVD SUITE 200
COLUMBUS, OH 43235
Phone number: 614-664-8880
Mailing Address
STACEY MICHELLE MOLLE CNS FNP PMHNP
7385 STATE ROUTE 3 # 1050
WESTERVILLE, OH 43082-8654
Phone number: 614-664-8880