JACQUELINE SUPPAN, MSN, CNS
Nurse Practitioner - Primary Care
Active
Individual
NPI: 1124084777
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Clinical Nurse Specialist - Adult Health | 364SA2200X | No | CTP-06570 (OH) |
| Nurse Practitioner - Primary Care | 363LP2300X | Yes | APRN.CNP.0036720 (OH) |
Frequently Asked Questions
NPI 1124084777 is the National Provider Identifier for JACQUELINE SUPPAN, MSN, CNS, a Nurse Practitioner - Primary Care provider located in Wooster, OH. This NPI was enumerated on April 24, 2006.
JACQUELINE SUPPAN, MSN, CNS practices at 1740 CLEVELAND RD, Wooster, OH 44691.
Quick Facts
- NPI
- 1124084777
- Type
- Individual
- Enumerated
- Apr 24, 2006
- Last Updated
- Dec 18, 2025
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