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Contact Information

MAMADOU S DIALLO, DNP, FNP-BC,PMHNP-BC
161 CLINT DR STE 200
PICKERINGTON, OH43147-7794
 Phone: 614-705-6161
 Fax: 614-705-6151
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MAMADOU S DIALLO · (Male)

NPI # 1922594746
Status Active
Credentials DNP, FNP-BC,PMHNP-BC
Entity Individual
Enumeration date 07/04/2018
Last updated 08/21/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 023055
  • OH License # CNP023055
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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