Provider Demographics
NPI:1780928788
Name:PRICHARD, GEORGETTE LYNN (APRN-CNP)
Entity type:Individual
Prefix:
First Name:GEORGETTE
Middle Name:LYNN
Last Name:PRICHARD
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:GEORGETTE
Other - Middle Name:
Other - Last Name:BALL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C
Mailing Address - Street 1:800 MCCONNELL DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3463
Mailing Address - Country:US
Mailing Address - Phone:614-566-5377
Mailing Address - Fax:614-533-6200
Practice Address - Street 1:800 MCCONNELL DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3463
Practice Address - Country:US
Practice Address - Phone:614-566-5377
Practice Address - Fax:614-533-6200
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0029839363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner