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JACQUELINE ANN SUPPAN MSN CNS NPI 1124084777

NPI Profile

NPI: 1124084777
Provider Name: JACQUELINE ANN SUPPAN, MSN, CNS
Classification: Clinical Nurse Specialist - 364SA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
2600 SIXTH ST SW
CANTON, OH
ZIP 44710
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Phone: (330) 363-9727

Jacqueline Ann Suppan, MSN, CNS is an adult health clinical nurse specialist in Canton, OH. Jacqueline Ann Suppan, MSN, CNS NPI is 1124084777. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2600 SIXTH ST SW
CANTON, OH
ZIP 44710-702
Phone: (330) 363-9727

The enumeration date for this NPI number is 4/24/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1364SA2200XClinical Nurse SpecialistAdult HealthCTP-06570OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 7/9/2020

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.