Jacquelynn Mary Shank

Physician Assistant · Independence, OH

Individual Active NPI

NPI number 1235522244

Practice location

5001 Rockside Rd
Independence, OH 44131
Phone
(216) 986-4000

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NPI record

NPI
1235522244
Entity type
Individual (Type 1)
Enumeration date
March 16, 2015
Last updated
June 17, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 50.004322 OH

Mailing address

6801 Brecksville Rd
Independence, OH 44131-5032

Other practice locations (1)

  • 200 E State St, Alliance, OH 44601-4936 · (300) 596-6000

About Jacquelynn Shank

Jacquelynn Mary Shank is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 5001 Rockside Rd, Independence, OH 44131. The NPI number 1235522244 was assigned on March 16, 2015 and the record was last updated on June 17, 2019.

Jacquelynn Shank lists a license in the registry: #50.004322 (OH) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacquelynn Mary Shank?

The NPI number is 1235522244.

What is the phone number of Jacquelynn Shank?

The phone number listed for the practice location is (216) 986-4000.

Where is Jacquelynn Shank located?

5001 Rockside Rd, Independence, OH 44131.

What is the taxonomy code for Jacquelynn Shank?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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