Provider Demographics
NPI:1740723261
Name:MCNEIL, ABIGAIL M (APRN-CNP)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:M
Last Name:MCNEIL
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:M
Other - Last Name:REESE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1180 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-1902
Mailing Address - Country:US
Mailing Address - Phone:614-645-5535
Mailing Address - Fax:614-645-5546
Practice Address - Street 1:1180 E MAIN ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-1902
Practice Address - Country:US
Practice Address - Phone:614-645-5535
Practice Address - Fax:614-645-5546
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-01
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.019439363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0198430Medicaid