IndividualActive
Jacob Vonderheide
NPI 1093661175 · Medical-Surgical Registered Nurse · Columbus, OH
Provider details
- NPI number
- 1093661175
- Entity type
- Individual
- Primary specialty
- Medical-Surgical Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RN.543562 (OH)
Specialties & taxonomies
Nursing Service Providers
Practice location
1577 Neil Ave
Columbus, OH 43210-1216
Phone: (614) 292-4041
Approximate (ZIP-level) locationGet directions
Mailing address
1577 Neil Ave
Columbus, OH 43210-1216
Registry dates
- Enumerated
- 2026-03-10
- Last updated
- 2026-03-10
- Certified
- 2026-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.