Provider Demographics
NPI:1285208595
Name:DAY, JOHN (APRN)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:DAY
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:628 OAK GALE LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-2719
Mailing Address - Country:US
Mailing Address - Phone:512-773-7565
Mailing Address - Fax:
Practice Address - Street 1:748 TAYLOR RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-3766
Practice Address - Country:US
Practice Address - Phone:512-773-7565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.458990163W00000X
314000000X
OHAPRN.CNP.0027661363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner