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

Rodelisa Douglas, CNP

Individual provider Family Nurse Practitioner · NPI 1134997257

Rodelisa Douglas, CNP is a Nurse Practitioner in Columbus, Ohio. Qualified in 2023, 3 years ago. Practices with The Little Clinic of Ohio LLC, a 219-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2023
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

1585 Georgesville Square Dr
Columbus, OH 43228-3777
Phone: (614) 335-0030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0035121 (OH)

Record details

NPI number1134997257
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedDecember 18, 2023
Last updated in NPPESOctober 4, 2024
Certification dateOctober 4, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice The Little Clinic Of Ohio Llc — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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