KOOLJOE FREDDY NTIM NPI 1750933982

NPI Information

  • NPI: 1750933982
  • Provider Name: KOOLJOE FREDDY NTIM
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 7650 HOWELL PARK DR
    PICKERINGTON, OH
    ZIP 43147
  • Phone: (614) 316-6408

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NPI Details

Kooljoe Freddy Ntim is a psychiatric/mental health nurse practitioner in Pickerington, OH. Kooljoe Freddy Ntim NPI is 1750933982. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7650 HOWELL PARK DR
PICKERINGTON, OH
ZIP 43147-513
Phone: (614) 316-6408

The enumeration date for this NPI number is 7/9/2019 and was last updated on 7/9/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health024423OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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