Shanique Abigail Fearon-Jack, NP

NPI #1073244950 in Cleveland, Ohio

Provider Information

NPI Number: 1073244950
Entity Type: Individual
Name: Shanique Abigail Fearon-Jack, NP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: NP
Enumeration Date: Jun 21, 2022
Last Updated: Feb 8, 2025

Practice Location

Address: 2500 METROHEALTH DR
City: Cleveland
State: Ohio
ZIP Code: 44109-1900
Phone: (216) 778-7800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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