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Brandon M Long, AGACNP

Nurse Practitioner, Primary Care in Columbus, OH. Individual provider (NPI-1).

NPI number1962027409
StatusActive
Last updated in NPPESSep 13, 2023

Details

NPI
1962027409
Entity type
Individual (NPI-1)
Name
Brandon M Long
Credential
AGACNP
Sex
Male
Sole proprietor
No
Enumeration date
Jun 10, 2020
Certification date
Sep 13, 2023
Last updated
Sep 13, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP2300X Nurse Practitioner, Primary CareAPRN.CNP.0026837OHYes
363LA2100X Nurse Practitioner, Acute CareAPRN.CNP.0026837OH

Practice location

420 N James Rd
Columbus, OH 43219-1834

Phone 614-257-5200

Mailing address

420 N James Rd
Columbus, OH 43219-1834

Phone 614-257-5200

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