Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE ANN SUPPAN, MSN, CNS
ActiveJACQUELINE ANN SUPPAN, MSN, CNS is a Primary Care Nurse Practitioner healthcare provider located in WOOSTER, Ohio. NPI 1124084777 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · WOOSTER, OH
Registration Details
- NPI Number
- 1124084777
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 24, 2006 (20.351645848538 yrs)
- Last Updated
- Dec 18, 2025
- Licenses
-
CTP-06570 (OH)APRN.CNP.0036720 (OH)
Practice Information
- Address
-
1740 CLEVELAND RDWOOSTER, OH, 446912204Browse OH providers · Browse ZIP 44691
- Phone
- 3302874500
- Fax
- 3302874929
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
- Additional Specialty
- Primary Care Nurse Practitioner
Other Primary Care Nurse Practitioner Providers in WOOSTER, OH
| Name | Credential | NPI |
|---|---|---|
| JULIE PODLOGAR | CNP | 1619496486 |
| JAMIE GEORGE | FNP | 1952812968 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.