Individual provider · Type 1 NPI

Jacqueline Ann Suppan, MSN, CNS

Primary Care Nurse Practitioner · Wooster, OH

NPI number 1124084777 Active

Practice location

1740 Cleveland Rd
Wooster, OH 44691-2204

Fax (330) 287-4929

Mailing address

2825 E Paradise Street Ext
Orrville, OH 44667-9621

Specialties and licenses

TaxonomyCodeLicense
Adult Health Clinical Nurse Specialist 364SA2200XCTP-06570 (OH)
Primary Care Nurse Practitioner Primary 363LP2300XAPRN.CNP.0036720 (OH)

Primary Care Nurse Practitioner: Definition to come...

58 other providers at this address

Other primary care nurse practitioner providers in Wooster

See all in Wooster →

About NPI 1124084777

Jacqueline Ann Suppan, MSN, CNS's National Provider Identifier is 1124084777, issued on Apr 24, 2006. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Wooster, OH. The record was last updated on Dec 18, 2025.