Provider Demographics
NPI:1386464758
Name:PHINNESSEE, BELINDA
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:
Last Name:PHINNESSEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 S HARRIS AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43204-2314
Mailing Address - Country:US
Mailing Address - Phone:614-749-2151
Mailing Address - Fax:
Practice Address - Street 1:955 S HARRIS AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43204-2314
Practice Address - Country:US
Practice Address - Phone:614-749-2151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No347C00000XTransportation ServicesPrivate Vehicle