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

Gloria Sefa Boateng

Individual provider Family Nurse Practitioner · NPI 1528578804

Gloria Sefa Boateng is a Nurse Practitioner in Columbus, Ohio. Qualified in 2017, 9 years ago. Practices with Dedicated Columbus Ohio LLC, an 11-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2017
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Practice location Address checks out

5156 E Main St
Columbus, OH 43213-2424
Phone: (614) 702-7655
Fax: (614) 706-1770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1585 Georgesville Square Dr, Columbus, OH 43228-3777 — (615) 932-7761
  • 2620 Elm Hill Pike, Nashville, TN 37214-3108 — (615) 932-7761

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CNP021715 (OH)

Record details

NPI number1528578804
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 2, 2017
Last updated in NPPESNovember 21, 2022
Certification dateNovember 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Dedicated Columbus Ohio Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Columbus