| Deidre Opoku, MSN, CNP, PMHNP-BC | |
| 
					7664 Slate Ridge Blvd, Reynoldsburg, OH 43068-8158  | |
| (614) 710-0173 | |
| (614) 987-4032 | 
| Full Name | Deidre Opoku | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 7664 Slate Ridge Blvd, Reynoldsburg, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1598041287 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 303997 (Ohio) | Secondary | 
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.0029532 (Ohio) | Primary | 
| Entity Name | Amazing Grace Mental Wellness Care | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1972236636 PECOS PAC ID: 8921480948 Enrollment ID: O20220808000144  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Deidre Opoku, MSN, CNP, PMHNP-BC 7664 Slate Ridge Blvd, Reynoldsburg, OH 43068-8158 Ph: (614) 710-0173  | Deidre Opoku, MSN, CNP, PMHNP-BC 7664 Slate Ridge Blvd, Reynoldsburg, OH 43068-8158 Ph: (614) 710-0173  | 
Mrs. Tonya Tressa Johnson, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1844 Crosswick Ct, Reynoldsburg, OH 43068 Phone: 678-469-7935  | |
Mr. Samuel Agyenim Boateng, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Holy Hills Healthcare Services, Llc, 6760 Tussing Road Suite 104, Reynoldsburg, OH 43068 Phone: 614-626-6000 Fax: 614-577-0807  | |
Kristen E Wisler, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6488 E Main St, Suite 110, Reynoldsburg, OH 43068 Phone: 614-860-8080 Fax: 614-860-8061  | |
Amanda Marie Phillips, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8400 E Broad St, Reynoldsburg, OH 43068 Phone: 614-328-8090  | |
Alpha K Traore, MSN, RN, APRN, ACNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1018 Allegro Dr # A, Reynoldsburg, OH 43068 Phone: 614-743-9298  | |
Ms. Kathleen Pfeifer,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7730 Jordan Xing, Reynoldsburg, OH 43068 Phone: 614-633-6123  | |
Aimee Nkwinja Finjap,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6760 Tussing Rd Ste 104, Reynoldsburg, OH 43068 Phone: 614-626-6000  |