Jacquelynn M. Shank
Physician Assistant · Independence, OH
UnclaimedNPI 1235522244
- Primary taxonomy
- 363A00000X
- Enumerated
- 2015-03-16
- Practice location
- Independence, OH
- Last NPPES update
- 2019-06-17
State licenses
- OH · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.