Jacquelynn Mary Shank

NPI #1235522244 in Independence, Ohio

Provider Information

NPI Number: 1235522244
Entity Type: Individual
Name: Jacquelynn Mary Shank
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Mar 16, 2015
Last Updated: Jun 17, 2019

Practice Location

Address: 5001 ROCKSIDE RD
City: Independence
State: Ohio
ZIP Code: 44131
Phone: (216) 986-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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