Provider Demographics
NPI:1942236377
Name:ADKINS, RENEE (CNP)
Entity Type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:
Last Name:ADKINS
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5969 E BROAD ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-1546
Mailing Address - Country:US
Mailing Address - Phone:614-863-1692
Mailing Address - Fax:614-575-5382
Practice Address - Street 1:477 COOPER RD
Practice Address - Street 2:SUITE 400
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-8053
Practice Address - Country:US
Practice Address - Phone:614-865-4050
Practice Address - Fax:614-794-9088
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN239410163W00000X
OHNP07973363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHNP16812Medicare ID - Type Unspecified
OHQ29826Medicare UPIN