Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Black Olive Health Care Clinic

Organization Primary Care Nurse Practitioner · NPI 1316695380

Black Olive Health Care Clinic provides Primary Care Nurse Practitioner services in Columbus, Ohio. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1415 E Dublin Granville Rd Ste 100C
Columbus, OH 43229-3311
Phone: (614) 943-3776
Fax: (860) 261-0210
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1316695380
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edeisha Brooks — Aprn · (419) 295-8811
NPI enumeratedMarch 17, 2022
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026
Mailing address860 Oakland Park Ave, Columbus, OH 43224-3258

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