JACQUELINE ANN SUPPAN

CANTON, OH
NPI1124084777
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy364SA2200X Clinical Nurse Specialist, Adult Health
(Licence: OH  CTP-06570)
Enumeration Date2006-04-24
Last Update Date2020-04-30
Business Address
JACQUELINE ANN SUPPAN MSN, CNS
733 MARKET AVE S
CANTON, OH 44702-2165
Phone number: 330-489-4600
Mailing Address
JACQUELINE ANN SUPPAN MSN, CNS
2825 E PARADISE STREET EXT
ORRVILLE, OH 44667-9621
Phone number: 330-683-2408