Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Black Olive Health Care Clinic

Organization Primary Care Nurse Practitioner · NPI 1316695380

Black Olive Health Care Clinic is a Primary Care Nurse Practitioner 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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